Charles A Shull, MD | |
Ridgecrest Regional Hospital, 1081 N.china Lake Road, Ridgecrest, CA 93555 | |
(760) 446-3551 | |
Not Available |
Full Name | Charles A Shull |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | Ridgecrest Regional Hospital, Ridgecrest, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669418224 | NPI | - | NPPES |
00G584412 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G58441 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ridgecrest Regional Hospital | 9739099896 | 80 |
Entity Name | Chase Dennis Emergency Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033152350 PECOS PAC ID: 2264345172 Enrollment ID: O20040729000498 |
Entity Name | Ridgecrest Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
Mailing Address | Practice Location Address |
---|---|
Charles A Shull, MD 1580 Dominguez Ranch Rd, Corona, CA 92882-7908 Ph: () - | Charles A Shull, MD Ridgecrest Regional Hospital, 1081 N.china Lake Road, Ridgecrest, CA 93555 Ph: (760) 446-3551 |
Christopher D Hogan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Ridgecrest Regional Hospital, 1081 N.china Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 | |
Joshua Ryan Radparvar, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 | |
Sunit Dalal, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 |