Rejan Mccaskill Md Inc | |
355 Placentia Ave Ste 208 Newport Beach CA 92663-3302 | |
(949) 791-2000 | |
(949) 791-2001 |
Full Name | Rejan Mccaskill Md Inc |
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Speciality | Internal Medicine |
Location | 355 Placentia Ave Ste 208, Newport Beach, California |
Authorized Official Name and Position | Rejan C. Mccaskill (OWNER) |
Authorized Official Contact | 9497912000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rejan Mccaskill Md Inc Po Box 1855 Suisun City CA 94585-4855 Ph: (657) 241-3600 | Rejan Mccaskill Md Inc 355 Placentia Ave Ste 208 Newport Beach CA 92663-3302 Ph: (949) 791-2000 |
NPI Number | 1376152314 |
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Provider Enumeration Date | 07/27/2020 |
Last Update Date | 11/10/2023 |
Medicare PECOS PAC ID | 7416376561 |
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Medicare Enrollment ID | O20200923002269 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376152314 | NPI | - | NPPES |
CB355667 | Other | CA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Rejan C Mccaskill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790852606 PECOS PAC ID: 8729164983 Enrollment ID: I20080327000738 |
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