Mike P Fealy, MD | |
6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 | |
(760) 379-2681 | |
Not Available |
Full Name | Mike P Fealy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 6412 Laurel Ave, Lake Isabella, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457308868 | NPI | - | NPPES |
00G639610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G63961 (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 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Entity Name | Santa Ynez River Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396210597 PECOS PAC ID: 7911241229 Enrollment ID: O20181127001998 |
Mailing Address | Practice Location Address |
---|---|
Mike P Fealy, MD 1140 Orchid Dr, Santa Barbara, CA 93111-2913 Ph: (805) 637-6932 | Mike P Fealy, MD 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240-9529 Ph: (760) 379-2681 |
Phillip Allan Martin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6425 Lynch Canyon Dr, Lake Isabella, CA 93240 Phone: 760-379-8630 Fax: 760-379-7658 | |
Paul Andrew Lincoln Giem, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240 Phone: 760-379-2681 | |
Gregory Lavarr Crawford, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6412 Laurel Ave, Mountain Mesa, Lake Isabella, CA 93240 Phone: 760-379-2681 | |
Peter Jackson Newell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6412 Laurel Ave, Lake Isabella, CA 93240 Phone: 760-379-2681 Fax: 760-379-2321 |