Jeremy K Deisch, MD | |
11234 Anderson St, Room 2151, Loma Linda, CA 92354-2804 | |
(909) 558-5170 | |
Not Available |
Full Name | Jeremy K Deisch |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 18 Years |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619170222 | NPI | - | NPPES |
A117116 | Other | CA | CALIFORNIA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | A117116 (California) | Primary |
207ZN0500X | Pathology - Neuropathology | A117116 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside University Health System-medical Center | Moreno valley, CA | Hospital |
Loma Linda University Medical Center | Loma linda, CA | Hospital |
Loma Linda University Medical Center-murrieta | Murrieta, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1065 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Loma Linda University Pathology Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457398505 PECOS PAC ID: 1355234972 Enrollment ID: O20040301000597 |
Mailing Address | Practice Location Address |
---|---|
Jeremy K Deisch, MD Po Box 1740, Loma Linda, CA 92354-0240 Ph: (909) 558-5170 | Jeremy K Deisch, MD 11234 Anderson St, Room 2151, Loma Linda, CA 92354-2804 Ph: (909) 558-5170 |
James M Pappas, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St Ste 2890, Loma Linda, CA 92354 Phone: 909-558-2304 | |
Mia Nepomuceno-perez, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 | |
Yan Chen Wongworawat, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda University Health-pathology, Loma Linda, CA 92354 Phone: 909-558-4094 | |
Wilson Chick, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 | |
Mrs. Laura Jean Denham, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St Ste 2516, Loma Linda, CA 92354 Phone: 909-558-4094 Fax: 909-793-2931 | |
Ravi K Raghavan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 | |
Pamela J Wat, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 |