| Herr-kostic Medical Group Inc. | |
|
41-120 Washington St Suite 101 Bermuda Dunes CA 92203 | |
| (760) 772-2823 | |
| (760) 772-2819 |
| Full Name | Herr-kostic Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 41-120 Washington St, Bermuda Dunes, California |
| Authorized Official Name and Position | Shelcie A Love (OFFICE MANAGER) |
| Authorized Official Contact | 7607722823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herr-kostic Medical Group Inc. 41-120 Washington St Suite 101 Bermuda Dunes CA 92203 Ph: (760) 772-2823 | Herr-kostic Medical Group Inc. 41-120 Washington St Suite 101 Bermuda Dunes CA 92203 Ph: (760) 772-2823 |
| NPI Number | 1467672345 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 04/24/2013 |
| Medicare PECOS PAC ID | 5597677898 |
|---|---|
| Medicare Enrollment ID | O20031104000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467672345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Biljana Slobodan Kostic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184703621 PECOS PAC ID: 7214849512 Enrollment ID: I20031105000538 |
| Provider Name | Susan Marder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033358528 PECOS PAC ID: 9638499973 Enrollment ID: I20150527002606 |
Medical Wellness Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41749 Brownstown Dr, Bermuda Dunes, CA 92203 Phone: 760-636-9893 | |
Scott Russell Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41120 Washington St Ste 210, Bermuda Dunes, CA 92203 Phone: 760-391-8436 | |
Clinica Del Sol Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41120 Washington St, Suite 103, Bermuda Dunes, CA 92203 Phone: 760-772-3348 Fax: 760-772-8414 | |
Mattie Evans Alderman Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41800 Washington St, Suite #110, Bermuda Dunes, CA 92203 Phone: 760-345-2696 Fax: 760-345-4961 | |
Mattie Evans Alderman Foundation For Preventive Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41800 Washington St Ste 110, Bermuda Dunes, CA 92203 Phone: 760-345-2696 Fax: 760-345-4961 |