Stefan Elazier (NPI# 1669753240, PAC ID# 1759554231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669753240 |
| PAC ID by PECOS | 1759554231 |
| Professional Enrollment ID | I20111027000910 |
| Full Name | Stefan Elazier |
| Organization Legal Name | THE NOBLE GROUP A MEDICAL CORPORATION |
| Address |
394 E Yosemite Ave Merced CA 95340-8218 |
| Phone Number | 2093833990 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284528944 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050444 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 394 E Yosemite Ave, Merced, CA 95340-8218 | 2093833990 | THE NOBLE GROUP A MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 50% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | THE NOBLE GROUP A MEDICAL CORPORATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malinda A Krenn | Nurse Practitioner | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| George William Nevatt | Family Medicine | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Katherine Marcela Pettyjohn | Nurse Practitioner | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Matthew Qualls | Nurse Practitioner | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Kheng Xiong | Physician Assistant | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Street Address |
394 E YOSEMITE AVE |
| City | MERCED |
| State | CA |
| Zip | 95340-8218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malinda A Krenn | Nurse Practitioner | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| George William Nevatt | Family Medicine | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Katherine Marcela Pettyjohn | Nurse Practitioner | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Matthew Qualls | Nurse Practitioner | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Kheng Xiong | Physician Assistant | The Noble Group A Medical Corporation | 394 E Yosemite Ave, Merced, CA 95340-8218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane C Richey | Diagnostic Radiology | Merced Mri Medical Group | 3365 G St, L, Merced, CA 95340-0964 |
| Odette Yang | Optometry | 3371 G St, A, Merced, CA 95340-0964 | |
| Steven Kent Hansen | Diagnostic Radiology | Merced Mri Medical Group | 3365 G St, L, Merced, CA 95340-0964 |
| Stephen F Corcoran | Orthopedic Surgery | 3349 G St F, Merced, CA 95340-0978 | |
| Eugenia Garcia | Family Medicine | 3349 G St, Suite A, Merced, CA 95340-0978 | |
| Maciej G Ossowski | Family Medicine | Provident Primary Care Inc | 3349 G St, Suite C, Merced, CA 95340-0978 |
| Timothy S Johnston | Family Medicine | Timothy S Johnston Md PC | 3349 G St, Suite F, Merced, CA 95340-0978 |
| Man-siak Mak | Gastroenterology | Timothy S Johnston Md PC | 3349 G St, Suite B, Merced, CA 95340-0978 |
| Kenneth Miller | Physician Assistant | Timothy S Johnston Md PC | 3349 G St, Merced, CA 95340-0978 |
| Albert P Col | Family Medicine | Merced Faculty Associates Medical Group Incorporated | 3385 G St A, Mfa El Portal, Merced, CA 95340-0980 |
| Find all physicians in zip 95340 | |||
| City | MERCED |
| Zip Code | 95340 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MERCED + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stefan Elazier.
| 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.