Jennifer Prince, DO | |
1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555-3131 | |
(760) 499-3855 | |
(760) 499-3870 |
Full Name | Jennifer Prince |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1111 N China Lake Blvd Ste 190, Ridgecrest, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811296288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A14479 (California) | Secondary |
207Q00000X | Family Medicine | 14479 (California) | Primary |
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Prince, DO 2152 Redwood Crst, Vista, CA 92081-7381 Ph: (917) 635-1493 | Jennifer Prince, DO 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555-3131 Ph: (760) 499-3855 |
William W Ferguson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1041 N China Lake Blvd, B, Ridgecrest, CA 93555 Phone: 760-446-6404 Fax: 760-446-6415 | |
Dr. John De Geus, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Administration Cir, Bld 1403, Ridgecrest, CA 93555 Phone: 760-939-8000 Fax: 760-939-0400 | |
Dr. Love Jeet Singh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 E Sydnor Ave Ste 100, Ridgecrest, CA 93555 Phone: 760-446-6404 Fax: 760-446-6415 | |
Dr. Donald J. Dixon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-8281 Fax: 760-446-8289 | |
Dr. David P Lusk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Heritage Dr, Bldg A, Ridgecrest, CA 93555 Phone: 760-446-4571 Fax: 760-446-0970 | |
Mrs. Melanie Willis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Sandeep Reen, MEDICAL DOCTOR Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 N Norma St Ste B, Ridgecrest, CA 93555 Phone: 760-463-1613 Fax: 760-463-1614 |