Dr Patrick E Phelan, MD | |
82934 Civic Center Dr, Indio, CA 92201-4308 | |
(442) 666-5076 | |
Not Available |
Full Name | Dr Patrick E Phelan |
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Gender | Male |
Speciality | Pediatrics |
Location | 82934 Civic Center Dr, Indio, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083771398 | NPI | - | NPPES |
036095191 1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-095191 (Illinois) | Secondary |
208000000X | Pediatrics | 86455 (Georgia) | Secondary |
208000000X | Pediatrics | C173151 (California) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669493466 PECOS PAC ID: 3072422716 Enrollment ID: O20210415002293 |
Mailing Address | Practice Location Address |
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Dr Patrick E Phelan, MD 11175 Campus St # A-1111, Loma Linda, CA 92350-1700 Ph: (909) 558-8142 | Dr Patrick E Phelan, MD 82934 Civic Center Dr, Indio, CA 92201-4308 Ph: (442) 666-5076 |
Quimbo Gulay Ching, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201 Phone: 760-775-7763 Fax: 760-775-9953 | |
Dr. Maria Remedios R Gopez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81767 Doctor Carreon Blvd, Suite 100, Indio, CA 92201 Phone: 760-347-1615 Fax: 760-347-1635 | |
Suguna Rs Rao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81880 Dr Carreon Blvd, Suite A103, Indio, CA 92201 Phone: 760-342-2255 Fax: 760-342-2397 | |
Rebecca Marie Savage, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80495 Ca-111 S, Indio, CA 92201 Phone: 760-347-2887 | |
Dr. Zosima B Carino-gateb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81833 Doctor Carreon Blvd, Suite 6, Indio, CA 92201 Phone: 760-775-7763 Fax: 760-775-9953 | |
Mr. Chorng Lii Hwang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81709 Dr Carreon Blvd, B-2, Indio, CA 92201 Phone: 760-342-4771 Fax: 760-342-2289 |