John Koleth, MD | |
769 W Blaine St, Riverside, CA 92507-3970 | |
(951) 358-4705 | |
Not Available |
Full Name | John Koleth |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 769 W Blaine St, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902086770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | MD421215 (Pennsylvania) | Primary |
Entity Name | Mellow Medical Inc A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
Mailing Address | Practice Location Address |
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John Koleth, MD 1401 S 31st St, 2nd Floor, Philadelphia, PA 19146-3506 Ph: (215) 925-2400 | John Koleth, MD 769 W Blaine St, Riverside, CA 92507-3970 Ph: (951) 358-4705 |
Dr. Dalia N Balsamo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3125 Myers St, Riverside, CA 92503 Phone: 951-358-4840 | |
Dr. David Robert Seigler, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9990 County Farm Rd, Riverside, CA 92503 Phone: 951-358-4881 | |
Richard D Prather, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Riverside County Dept Of Mental Health, 4095 County Circle Drive, Riverside, CA 92503 Phone: 951-955-8000 Fax: 951-955-8010 | |
Dr. Tokunbo Labisi Williams, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9990 County Farm Rd, Riverside, CA 92503 Phone: 951-358-4770 | |
Monish Parmar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4095 County Circle Dr, Riverside, CA 92503 Phone: 951-358-4504 | |
Dr. Sahar Hamidy Osman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505 Phone: 951-781-3672 Fax: 951-781-0365 | |
Arthur Amador, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 769 W Blaine St Ste B, Riverside, CA 92507 Phone: 951-358-4705 Fax: 951-358-4719 |