| Kirt Lee Edly, PA | |
|
39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, CA 92270-3221 | |
| (760) 568-2684 | |
| (760) 341-5832 |
| Full Name | Kirt Lee Edly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, 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 |
|---|---|---|---|
| 1053575746 | NPI | - | NPPES |
| PA21381 | Other | CA | CALIFORNIA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA21381 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA21381 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eisenhower Medical Center | Rancho mirage, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desert Orthopedic Center A Medical Group Inc | 2466346739 | 39 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirt Lee Edly, PA Po Box 1730, Rancho Mirage, CA 92270-1058 Ph: (760) 568-2684 | Kirt Lee Edly, PA 39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, CA 92270-3221 Ph: (760) 568-2684 |
Molly E Mckeown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Harry And Diane Rinker Blg, Rancho Mirage, CA 92270 Phone: 760-568-2684 Fax: 760-341-5832 | |
Kevin A Vida, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Drive, Harry & Diane Rinker Building, Rancho Mirage, CA 92270 Phone: 760-568-2684 Fax: 760-837-2259 | |
Ms. Ekchhanak Leaders Rosenkranz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-568-4330 Fax: 760-568-6470 | |
Christopher Peter Naeyaert, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8131 | |
Janice M. Koehler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-568-4330 Fax: 760-568-6470 | |
Beth Ann Mulligan, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 72301 Country Club Dr Ste 102, Rancho Mirage, CA 92270 Phone: 760-862-9168 |