Wesley P Phipatanakul, MD | |
25455 Barton Rd, Suite 102b, Loma Linda, CA 92354-3128 | |
(909) 558-2808 | |
Not Available |
Full Name | Wesley P Phipatanakul |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 26 Years |
Location | 25455 Barton Rd, 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 |
---|---|---|---|
1932135654 | NPI | - | NPPES |
00A811350 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A81135 (California) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | A81135 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loma Linda University Medical Center | Loma linda, 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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Sac Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
Mailing Address | Practice Location Address |
---|---|
Wesley P Phipatanakul, MD 11406 Loma Linda Dr, Suite 218, Loma Linda, CA 92354-3711 Ph: (909) 558-6444 | Wesley P Phipatanakul, MD 25455 Barton Rd, Suite 102b, Loma Linda, CA 92354-3128 Ph: (909) 558-2808 |
Philip Henry Reiswig, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-583-6073 | |
Dr. Corey Brandon Fuller, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Phone: 909-558-6444 Fax: 909-558-6118 | |
Parke William Hudson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Dr. Gary D Botimer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5599 | |
Allen Nedley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354 Phone: 909-558-6444 | |
Dr. Arthur Thiel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5588 | |
Gary Lewis Painter, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11354 Mountain View Ave Ste A, Loma Linda, CA 92354 Phone: 909-799-7171 Fax: 909-799-5959 |