Andre Todd Dejean, MD | |
500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 | |
(661) 664-1230 | |
(661) 663-3008 |
Full Name | Andre Todd Dejean |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 500 Old River Rd, Bakersfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639140700 | NPI | - | NPPES |
036098449 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036098449 (Illinois) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 036-098449 (Illinois) | Secondary |
Entity Name | Foundation For Emergency Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467468280 PECOS PAC ID: 4981504198 Enrollment ID: O20040113000338 |
Entity Name | Kam Alliance Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003046152 PECOS PAC ID: 7315085289 Enrollment ID: O20091113000153 |
Entity Name | D Care Incorpoated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942526850 PECOS PAC ID: 0143366815 Enrollment ID: O20110105000268 |
Mailing Address | Practice Location Address |
---|---|
Andre Todd Dejean, MD 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 Ph: (661) 664-1230 | Andre Todd Dejean, MD 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 Ph: (661) 664-1230 |
May Ling The, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3733 San Dimas St, Bakersfield, CA 93301 Phone: 800-353-5400 | |
Nykia Chichizola-peace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Wible Rd Ste 14, Bakersfield, CA 93304 Phone: 661-835-1240 | |
Tien Nguyen, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4901 Centennial Plaza Way, Bakersfield, CA 93312 Phone: 661-588-1150 Fax: 661-241-4052 | |
Adan De Jesus Romero Lopez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9001 South H St, Clinica Sierra Vista, Bakersfield, CA 93307 Phone: 661-328-4260 Fax: 661-617-2881 | |
Tana Sue Parker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7800 Niles St, Bakersfield, CA 93306 Phone: 661-328-4284 Fax: 661-616-9980 | |
Raul Bugnosen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3733 San Dimas St, Bakersfield, CA 93301 Phone: 800-353-5400 | |
Dr. Gurinder P Chatha, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8800 Ming Ave, Bakersfield, CA 93311 Phone: 661-631-3008 |