Kenneth M Dale, DO | |
4445 Magnolia Ave, Riverside, CA 92501 | |
(951) 788-3000 | |
Not Available |
Full Name | Kenneth M Dale |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 4445 Magnolia Ave, Riverside, 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 |
---|---|---|---|
1932158771 | NPI | - | NPPES |
772485 | Medicaid | AZ | |
00AX70600 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 3838 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arizona Emergency Medicine Specialists Pc | 8921295684 | 15 |
Entity Name | Arizona Emergency Medicine Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134439706 PECOS PAC ID: 8921295684 Enrollment ID: O20110208000837 |
Entity Name | Innova Emergency Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20160525000770 |
Entity Name | Sound Physicians Emergency Medicine Of Arizona Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700328663 PECOS PAC ID: 5799066650 Enrollment ID: O20170109000725 |
Entity Name | Steward Emergency Physicians Of Arizona Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558827998 PECOS PAC ID: 4486995420 Enrollment ID: O20190401001375 |
Mailing Address | Practice Location Address |
---|---|
Kenneth M Dale, DO 2100 Powell St, Ste 920, Emeryville, CA 94608-1803 Ph: (510) 350-2600 | Kenneth M Dale, DO 4445 Magnolia Ave, Riverside, CA 92501 Ph: (951) 788-3000 |
Dr. Chad Leroy Clark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3865 Jackson St, Riverside, CA 92503 Phone: 951-352-5666 Fax: 951-352-5445 | |
Dr. David Stuart Siegel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3425 Torrey St, Riverside, CA 92503 Phone: 561-685-6148 | |
Doug John Williamson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Kenneth Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3537 Fax: 951-788-3173 | |
Dr. Ernest Woodhouse, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 Magnolia Ave., Riverside, CA 92501 Phone: 951-788-3200 | |
Dr. Michael Kang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-684-3910 | |
Dr. Humberto Alirio Silva, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3865 Jackson St, Riverside, CA 92503 Phone: 951-352-5666 Fax: 951-352-5445 |