Charles Richard Kossman, MD | |
5555 Reservoir Dr, Suite 306, San Diego, CA 92120-5134 | |
(619) 287-9910 | |
(619) 287-3526 |
Full Name | Charles Richard Kossman |
---|---|
Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 5555 Reservoir Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184799892 | NPI | - | NPPES |
CN534Z | Other | CA | MEDICARE INDIVIDUAL PTAN |
1629046925 | Other | CA | MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO NPI |
G28857 | Other | CA | CA LIC |
AK7033171 | Other | CA | D.E.A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | G28857 (California) | Primary |
Entity Name | Medical Oncology Associates Of San Diego A Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629046925 PECOS PAC ID: 1355327198 Enrollment ID: O20040624000816 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Mailing Address | Practice Location Address |
---|---|
Charles Richard Kossman, MD 3075 Health Center Dr, Suite 102, San Diego, CA 92123-2773 Ph: (858) 637-7888 | Charles Richard Kossman, MD 5555 Reservoir Dr, Suite 306, San Diego, CA 92120-5134 Ph: (619) 287-9910 |
Dr. Ramin Motarjemi, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069 | |
Dr. Shweta Warner, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012 | |
Dr. Matthew James Roosevelt, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091 | |
Dr. Daniel Joseph Desantis, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134 Phone: 619-532-7935 | |
Jedidiah Daniel Bell, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434 | |
Dr. Umber Dube, MD PHD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122 Phone: 858-657-1675 | |
Dr. Patricia Vold Pepper, MD, MSC, FACP Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7504 Fax: 619-532-7508 |