Beaver Medical Group, Lp is a medicare enrolled "Internal Medicine" provider in Banning, California. Their current practice location is
6109 W Ramsey St, Banning, California. You can reach out to their office (for appointments etc.) via phone at
(951) 845-0313.
Beaver Medical Group, Lp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Beaver Medical Group, Lp
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1619914959.
Healthcare Provider's Profile
| Full Name | Beaver Medical Group, Lp |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 6109 W Ramsey St, Banning, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619914959
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 02/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547164295
- Enrollment ID: O20121212000347
Medical Identifiers
Medical identifiers for Beaver Medical Group, Lp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619914959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Beaver Medical Group, Lp is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beaver Medical Group, Lp
Po Box 10069,
San Bernardino, CA 92423-0069
Ph: (909) 335-4188 | Beaver Medical Group, Lp
6109 W Ramsey St,
Banning, CA 92220-3051
Ph: (951) 845-0313 |
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