| Samuel C Birkholz, | |
|
444 Bruce St, Yreka, CA 96097-3450 | |
| (530) 842-4121 | |
| (530) 841-2049 |
| Full Name | Samuel C Birkholz |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 444 Bruce St, Yreka, 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 |
|---|---|---|---|
| 1558873786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000789 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairchild Medical Center | Yreka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siskiyou Hospital Inc | 1254223134 | 62 |
| Entity Name | Siskiyou Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311 |
| Entity Name | Siskiyou Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20071213000624 |
| Entity Name | Cep America - Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel C Birkholz, 444 Bruce St, Yreka, CA 96097-3450 Ph: (530) 842-4124 | Samuel C Birkholz, 444 Bruce St, Yreka, CA 96097-3450 Ph: (530) 842-4121 |
Mr. Cameron Thomas Lovinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-842-4121 Fax: 530-841-0913 | |
Frances Carol Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-842-4121 |