| Danielle D Wilson, DO | |
|
245 Terracina Blvd, Redlands, CA 92373-4852 | |
| (909) 793-3500 | |
| Not Available |
| Full Name | Danielle D Wilson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 245 Terracina Blvd, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750946117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A21636 (California) | Primary |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle D Wilson, DO 7031 Sw 62nd Ave, South Miami, FL 33143-4701 Ph: (305) 284-7761 | Danielle D Wilson, DO 245 Terracina Blvd, Redlands, CA 92373-4852 Ph: (909) 793-3500 |
Giorgio Roveran, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-825-7084 Fax: 909-894-7961 | |
Narmisha Vijay Patel, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-583-2741 | |
Dr. Gary Merle Wernick, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10408 Industrial Cir, Redlands, CA 92374 Phone: 909-796-7803 Fax: 909-255-7291 | |
Dr. Aneeta Ramakrishna Kiran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd, Kaiser Permanente, Redlands, CA 92373 Phone: 909-427-5000 | |
Julia Eunahn Suh, Internal Medicine Medicare: Medicare Enrolled Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-825-7084 | |
Dr. Marvin Donald Brauer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 | |
Isaiah Mark Horton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Terracina Blvd Ste 105, Redlands, CA 92373 Phone: 909-335-4102 |