| Steven A Mitnick, MD | |
|
2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | |
| (707) 308-2815 | |
| Not Available |
| Full Name | Steven A Mitnick |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 2455 Summerfield Rd, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548285950 | NPI | - | NPPES |
| 00G512820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G51282 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G51282 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven A Mitnick, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 523-7141 | Steven A Mitnick, MD 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 Ph: (707) 308-2815 |
John F. Kunkel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
John Wolfe, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405 Phone: 209-575-4575 Fax: 209-575-4598 | |
Dr. Joseph Stephen Wand, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3715 Nielsen Rd, Santa Rosa, CA 95404 Phone: 707-527-7968 | |
Charles A Amezcua, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4686 | |
Tiffany A. Camarillo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Mark Demeo, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405 Phone: 209-575-4575 Fax: 209-575-4598 | |
Andrew Z. Miklos, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |