| Adelina B Stateva, DPM | |
|
175 Park St, Lakeport, CA 95453-4803 | |
| (707) 263-9595 | |
| (707) 263-5576 |
| Full Name | Adelina B Stateva |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 24 Years |
| Location | 175 Park St, Lakeport, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477588549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E4562 (California) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4562 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Consolidated Tribal Health Project, Inc. | 1456260736 | 9 |
| Parkview Podiatry | 6406118132 | 4 |
| Provider Name | Mendocino Community Health Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
| Provider Name | Consolidated Tribal Health Project, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003826009 PECOS PAC ID: 1456260736 Enrollment ID: O20050714000893 |
| Provider Name | Parkview Podiatry |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932613759 PECOS PAC ID: 6406118132 Enrollment ID: O20180316001807 |
| Mailing Address | Practice Location Address |
|---|---|
| Adelina B Stateva, DPM 175 Park St, Lakeport, CA 95453-4803 Ph: (707) 263-9595 | Adelina B Stateva, DPM 175 Park St, Lakeport, CA 95453-4803 Ph: (707) 263-9595 |
James M Hagan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 175 Park St, Lakeport, CA 95453 Phone: 707-263-9595 Fax: 707-263-5576 | |
North Bay Foot And Ankle Clinic Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 175 Park St, Lakeport, CA 95453 Phone: 707-263-9595 Fax: 707-263-5576 | |
Northern California Medical Assoc Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 175 Park St, Lakeport, CA 95453 Phone: 707-263-9595 Fax: 707-263-5576 | |
Nardia Sokol, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 175 Park St, Lakeport, CA 95453 Phone: 707-263-9595 | |
Matthew Mcquaid, Dpm, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 5150 Hill Rd E Ste A, Lakeport, CA 95453 Phone: 707-263-3727 Fax: 707-263-5236 | |
Parkview Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 175 Park St, Lakeport, CA 95453 Phone: 707-263-9595 |