Jeffrey Lynn Stevenson (NPI# 1326037805, PAC ID# 0648247791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1326037805 |
| PAC ID by PECOS | 0648247791 |
| Professional Enrollment ID | I20040916000826 |
| Full Name | Jeffrey Lynn Stevenson |
| Address |
300 Professional Ctr Dr Suite 326 Novato CA 94947-4334 |
| Phone Number | 4158975400 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY PRACTICE, GENERAL SURGERY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 050360 | MARIN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Professional Ctr Dr, Suite 326, Novato, CA 94947-4334 | 4158975400 | |
| 300 Professional Ctr Dr, Novato, CA 94947-4334 | 4158975400 |
| Street Address |
300 PROFESSIONAL CTR DR SUITE 326 |
| City | NOVATO |
| State | CA |
| Zip | 94947-4334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahr Elder | Oral Surgery | 1805 Novato Blvd, Suite 1, Novato, CA 94947-2934 | |
| David W Epstein | Oral Surgery | 1701 Novato Blvd, Suite 306, Novato, CA 94947-3030 | |
| Edgar Craig Mc Curdy | Optometry | 1730 Novato Blvd, Suite C, Novato, CA 94947-3048 | |
| Louisa Ann Parks | Clinical Psychologist | 1683 Novato Blvd, Suite 1b, Novato, CA 94947-3204 | |
| Mark D Kamena | Clinical Psychologist | 1683 Novato Blvd, 1b, Novato, CA 94947-3204 | |
| Kim S Frederickson | Dermatology | Novato Dermatology Associates A Medical Corporation | 867 Diablo Ave, Novato, CA 94947-4007 |
| Stephen L Dalton | Dermatology | Novato Dermatology Associates A Medical Corporation | 867 Diablo Ave, Novato, CA 94947-4007 |
| Gina R Keelen | Chiropractic | Podwojski Keelen Chiropractic Corporation | 1561 S Novato Blvd A, Novato, CA 94947-4100 |
| Paul D Podwojski | Chiropractic | Podwojski Keelen Chiropractic Corporation | 1561 S Novato Blvd A, Novato, CA 94947-4100 |
| Thomas P Young Iii | Nurse Practitioner | 1615 Hill Rd, Suite 14, Novato, CA 94947-4304 | |
| Find all physicians in zip 94947 | |||
| City | NOVATO |
| Zip Code | 94947 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | NOVATO + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jeffrey Lynn Stevenson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.