Carol Renke Md Pc | |
72760 El Paseo Ste 1 Palm Desert CA 92260-3301 | |
(760) 776-8444 | |
(760) 776-8440 |
Full Name | Carol Renke Md Pc |
---|---|
Speciality | Family Medicine |
Location | 72760 El Paseo Ste 1, Palm Desert, California |
Authorized Official Name and Position | Carol Renke (OWNER/PHYSICIAN) |
Authorized Official Contact | 7604082040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carol Renke Md Pc 72760 El Paseo Ste 1 Palm Desert CA 92260-3301 Ph: (760) 776-8444 | Carol Renke Md Pc 72760 El Paseo Ste 1 Palm Desert CA 92260-3301 Ph: (760) 776-8444 |
NPI Number | 1477324069 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 1052751591 |
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Medicare Enrollment ID | O20240430003957 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477324069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Carol Renke |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407878473 PECOS PAC ID: 2961451661 Enrollment ID: I20050120000299 |
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