Beaver Medical Group P C is a medicare enrolled "Internal Medicine" provider in Colton, California. Their current practice location is
1300 E Cooley Dr, Colton, California. You can reach out to their office (for appointments etc.) via phone at
(909) 370-4100.
Beaver Medical Group P C is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Beaver Medical Group P C
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 1144265919.
Healthcare Provider's Profile
| Full Name | Beaver Medical Group P C |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 1300 E Cooley Dr, Colton, 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: 1144265919
- Provider Enumeration Date: 06/17/2006
- Last Update Date: 08/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547164295
- Enrollment ID: O20130110000567
Medical Identifiers
Medical identifiers for Beaver Medical Group P C such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144265919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (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 P C 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 P C
Po Box 35380,
Las Vegas, NV 89133-5380
Ph: (702) 480-2550 | Beaver Medical Group P C
1300 E Cooley Dr,
Colton, CA 92324-3905
Ph: (909) 370-4100 |
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