Indian Wells Medical Center is a
Family Medicine based in Indian Wells, California. Indian Wells Medical Center is licensed to practice in California (license number A83821) and their current practice location is
74976 Us Highway 111, Indian Wells, California. It can be reached at their office (for appointments etc.) via phone at
(760) 568-4544.
NPI number for Indian Wells Medical Center is 1548288574 and their current mailing address is 74976 Highway 111, Indian Wells, California. Indian Wells Medical Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1548288574.
Healthcare Provider's Profile
| Full Name | Indian Wells Medical Center |
|---|
| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 74976 Us Highway 111, Indian Wells, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548288574
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 03/15/2008
Medical Identifiers
Medical identifiers for Indian Wells Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548288574 | NPI | - | NPPES |
| ZZZ13979Z | Other | CA | BLUE SHIELD PROVIDER # |
| ZZZ13978Z | Other | CA | BLUE SHIELD TRI-CARE WEST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC26074 (California) | Secondary |
| 207Q00000X | Family Medicine | A83821 (California) | Primary |
| 207R00000X | Internal Medicine | C29564 (California) | Secondary |
| 208D00000X | General Practice | A28654 (California) | Secondary |
| 225100000X | Physical Therapist | PT19355 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Indian Wells Medical Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Indian Wells Medical Center
74976 Highway 111,
Indian Wells, CA 92210
Ph: (760) 568-4544 | Indian Wells Medical Center
74976 Us Highway 111,
Indian Wells, CA 92210-7117
Ph: (760) 568-4544 |
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