Mark A Eller, MD | |
465 W Putnam Ave, Porterville, CA 93257-3320 | |
(559) 784-1110 | |
Not Available |
Full Name | Mark A Eller |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 465 W Putnam Ave, Porterville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831100635 | NPI | - | NPPES |
00G328020 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G32802 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
---|---|
Mark A Eller, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Mark A Eller, MD 465 W Putnam Ave, Porterville, CA 93257-3320 Ph: (559) 784-1110 |
Dylan Cary Martin, EMT Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 770 N Plano St, Porterville, CA 93257 Phone: 559-793-5519 | |
Erika Kati-ki Wilson, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Thomas A Lukaszczyk, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Dewane K Brueske, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Jason Thomas Chan, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Reagan Brian Bellinghausen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Ernest W Kazato, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 |