Dr Charles Derrick Farwell, MD | |
Naval Hospital, Camp Pendleton, Sant Margarita Rd, Bldg H100; Attention: Code 094, Camp Pendleton, CA 92055-5191 | |
(760) 725-8882 | |
(760) 725-1267 |
Full Name | Dr Charles Derrick Farwell |
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Gender | Male |
Speciality | General Practice |
Location | Naval Hospital, Camp Pendleton, Camp Pendleton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1811009079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 9803 (North Dakota) | Primary |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Mailing Address | Practice Location Address |
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Dr Charles Derrick Farwell, MD 3376 Lockwood Dr, San Diego, CA 92123-2618 Ph: () - | Dr Charles Derrick Farwell, MD Naval Hospital, Camp Pendleton, Sant Margarita Rd, Bldg H100; Attention: Code 094, Camp Pendleton, CA 92055-5191 Ph: (760) 725-8882 |
Dr. Scott Harley, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055 Phone: 760-719-3205 | |
Bryan Keenan, MD General Practice Medicare: Medicare Enrolled Practice Location: Mag 39, Area 22 Medical, Bldg 22190, Camp Pendleton, CA 92055 Phone: 760-725-2969 | |
Dr. James Michael Liang, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: Box 555191, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-763-1515 | |
Dr. Mary Ann Sullivan, M.D. General Practice Medicare: Medicare Enrolled Practice Location: Nmrtc Camp Pendleton, 4th Floor Rm 4172, Camp Pendleton, CA 92055 Phone: 575-749-3629 | |
Mia Carrasco, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 480-815-3827 | |
Mckenzie Rooney, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Nmrtc Camp Pendleton, 4th Floor, Rm 4172, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Dr. Barak C Clement, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 33 Area Branch Medical Clinic, Building 330305, C Street, Camp Pendleton, CA 92005 Phone: 760-725-4010 Fax: 760-266-6188 |