| Stephen Osterberg, | |
|
2175 South Ave, South Lake Tahoe, CA 96150-7024 | |
| (530) 543-5691 | |
| Not Available |
| Full Name | Stephen Osterberg |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2175 South Ave, South Lake Tahoe, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457814071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A195723 (California) | Primary |
| Entity Name | Barton Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
| Entity Name | Barton Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Osterberg, 303 Parkway Dr Ne, Atlanta, GA 30312-1212 Ph: () - | Stephen Osterberg, 2175 South Ave, South Lake Tahoe, CA 96150-7024 Ph: (530) 543-5691 |
Dr. Gregory Gene Eyre, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2158 Jean Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5691 Fax: 531-542-2872 | |
William R Shepard, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5691 Fax: 530-542-2872 | |
Kimberly Anne Evans, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5691 Fax: 530-542-2872 |