MEDICARE: JENNIFER L STEWART MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	44680	CO
2	207Q00000X	Family Medicine Physician	MD154690	OR
3	207Q00000X	Family Medicine Physician	A110366	CA
4	207R00000X	Internal Medicine Physician	A110366	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01719258	OTHER	CA	RAILROAD MEDICARE
4	P01205782	OTHER	OR	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982749842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER L STEWART MD

Provider Business Mailing Address
First Line	:	PO BOX 38
Second Line	:
City	:	MENDOCINO
State	:	CA
Zip	:	95460-0038
Country	:	US
Telephone Number	:	707-937-1055
Fax Number	:	707-937-1061

Provider Business Practice Location Address
First Line	:	45081 LITTLE LAKE ST
Second Line	:
City	:	MENDOCINO
State	:	CA
Zip	:	95460-9998
Country	:	US
Telephone Number	:	707-937-1022
Fax Number	:	707-937-1061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	06/20/2019

Similar Medicare Providers

1982603577 — NORTHERN CALIFORNIA MEDICAL ASSOC INC
Practice Location Address:

45081 LITTLE LAKE ST
MENDOCINO, CA
95460

Practice Phone: 707-573-6166
Practice Fax: 707-573-6165

1780676064 — DR. DONALD JAMES SHEFFEL MD
Practice Location Address:

45401 DRIFTERS REEF
MENDOCINO, CA
95460

Practice Phone: 707-937-1614
Practice Fax: 707-937-2326

1881625671 — JEFFREY A BERENSON MD A PROFESSIONAL CORPORATION
Practice Location Address:

45081 LITTLE LAKE STREET
MENDOCINO, CA
95460

Practice Phone: 707-937-1055
Practice Fax: 707-937-1061

1710919857 — MS. SHARON ANN HUNTER NP
Practice Location Address:

45081 LITTLE LAKE ST
MENDOCINO, CA
95460

Practice Phone: 707-937-1055
Practice Fax: 707-937-1061

1093733727 — DR. WALTER A BOYLE III MD
Practice Location Address:

44791 BAYWOOD DR
MENDOCINO, CA
95460-9527

Practice Phone: 314-324-3425
Practice Fax:

1427078245 — MS. FAITH SUSAN SIMON FNP
Practice Location Address:

45081 LITTLE LAKE STREET
MENDOCINO, CA
95460

Practice Phone: 707-937-1055
Practice Fax: 707-937-1061

Directions to “ JENNIFER L STEWART MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.