| Charles A Shull, MD | |
|
Ridgecrest Regional Hospital, 1081 N.china Lake Road, Ridgecrest, CA 93555 | |
| (760) 446-3551 | |
| Not Available |
| Full Name | Charles A Shull |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | Ridgecrest Regional Hospital, Ridgecrest, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669418224 | NPI | - | NPPES |
| 00G584412 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G58441 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgecrest Regional Hospital | 9739099896 | 82 |
| Entity Name | Chase Dennis Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033152350 PECOS PAC ID: 2264345172 Enrollment ID: O20040729000498 |
| Entity Name | Ridgecrest Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Shull, MD 1580 Dominguez Ranch Rd, Corona, CA 92882-7908 Ph: () - | Charles A Shull, MD Ridgecrest Regional Hospital, 1081 N.china Lake Road, Ridgecrest, CA 93555 Ph: (760) 446-3551 |
Joshua Ryan Radparvar, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 | |
Sunit Dalal, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 |