Richard Detwiler, MD | |
1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 | |
(530) 626-3682 | |
Not Available |
Full Name | Richard Detwiler |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 50 Years |
Location | 1095 Marshall Way, Placerville, 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 |
---|---|---|---|
1912949850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G31263 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marshall Medical Center | Placerville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marshall Medical Center | 7517875859 | 94 |
Entity Name | Marshall Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962506097 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
Mailing Address | Practice Location Address |
---|---|
Richard Detwiler, MD Po Box 45680, San Francisco, CA 94145-0680 Ph: (530) 626-3682 | Richard Detwiler, MD 1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 Ph: (530) 626-3682 |
Dr. Robert Francis Kissling Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7040 Amber Way, Placerville, CA 95667 Phone: 909-213-0806 | |
Ying Ming Benjamin Tan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1095 Marshall Way Ste 202, Placerville, CA 95667 Phone: 530-626-3682 Fax: 530-748-0325 | |
Delandy Mcconnell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way Ste 202, Placerville, CA 95667 Phone: 530-626-3682 Fax: 530-748-0325 | |
Dr. Craig R Thayer, M.D., F.A.C.S. Surgery Medicare: Medicare Enrolled Practice Location: 941 Spring St, Suitea, Placerville, CA 95667 Phone: 530-626-1102 Fax: 530-626-4337 | |
Robin L Locke, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1095 Marshall Way, Suite 202, Placerville, CA 95667 Phone: 530-626-3682 | |
John Yongkwon Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way, Suite 202, Placerville, CA 95667 Phone: 530-626-3682 |