| Stephen J Gerbich, MD | |
|
2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | |
| (530) 528-4452 | |
| (530) 528-7921 |
| Full Name | Stephen J Gerbich |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2450 Sister Mary Columba Dr, Red Bluff, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538196746 | NPI | - | NPPES |
| 00G599121 | Medicaid | CA | |
| CGP169941 | Other | CA | CCS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G59912 (California) | Secondary |
| 208000000X | Pediatrics | G59912 (California) | Primary |
| Entity Name | Active Life Wound Clinic A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801253323 PECOS PAC ID: 9436419017 Enrollment ID: O20180130000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Gerbich, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 528-4452 | Stephen J Gerbich, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 528-4452 |
Kisung Kim, BM Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-527-3720 | |
Kimberli Frantz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Danielle Dionne Dixon, D.O., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Lena Renee Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423 | |
Maria Nelisa N Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423 | |
Annette Ndagano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423 | |
Lea Manlapaz-villavicencio, Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 |