Jason Raymond Kondrat, | |
39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | |
(760) 340-3911 | |
(760) 773-1440 |
Full Name | Jason Raymond Kondrat |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 39000 Bob Hope Dr, Rancho Mirage, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689295925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A20804 (California) | Primary |
Entity Name | Eisenhower Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102 |
Mailing Address | Practice Location Address |
---|---|
Jason Raymond Kondrat, 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-3911 | Jason Raymond Kondrat, 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-3911 |
Dr. William D Crecelius, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 72780 Country Club Dr Ste 203, Rancho Mirage, CA 92270 Phone: 760-834-3593 Fax: 760-674-3845 | |
Edward B Cooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-773-1221 | |
Steven L Stephanides, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Uihlein Bldg, 1st Floor, Rancho Mirage, CA 92270 Phone: 330-493-4443 Fax: 330-493-8677 | |
Dr. Gregory Michael Apel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 | |
Peter Andersons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-773-1221 | |
Dr. Jeffrey Kile, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-773-1221 | |
Francis Domzalski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 72780 Country Club Dr Ste 203, Rancho Mirage, CA 92270 Phone: 760-834-3593 Fax: 760-674-3845 |