Dr Denise C Dittemore, MD | |
268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | |
(909) 382-3087 | |
(909) 382-3106 |
Full Name | Dr Denise C Dittemore |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 268 W Hospitality Ln, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649310335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G85009 (California) | Primary |
Entity Name | County Of San Bernardino |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
Mailing Address | Practice Location Address |
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Dr Denise C Dittemore, MD 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 Ph: (909) 382-3087 | Dr Denise C Dittemore, MD 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 Ph: (909) 382-3087 |
Antoinette Azar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 | |
Dr. Juan Lua Gonzalez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 W Hospitality Ln, Suite 312, San Bernardino, CA 92408 Phone: 866-205-3595 | |
Dr. Dennis Payne, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 | |
Gamil Fteeh, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 E Caroline St Ste J, San Bernardino, CA 92408 Phone: 909-835-1810 Fax: 909-835-1780 | |
Than Myint, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 | |
Dr. Lita S. Hedglin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 Fax: 949-499-8695 | |
Ricardo Whyte, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 |