| Dr Charles Derrick Farwell, MD | |
|
Naval Hospital, Camp Pendleton, Sant Margarita Rd, Bldg H100; Attention: Code 094, Camp Pendleton, CA 92055-5191 | |
| (760) 725-8882 | |
| (760) 725-1267 |
| Full Name | Dr Charles Derrick Farwell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | Naval Hospital, Camp Pendleton, Camp Pendleton, 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 |
|---|---|---|---|
| 1811009079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 9803 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System Albert Lea And Austin | Albert lea, MN | Hospital |
| Mayo Clinic Health System In La Crosse | La crosse, WI | Hospital |
| Mayo Clinic Health System-northland | Barron, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Wisconsin Region Inc | 0345152443 | 539 |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Derrick Farwell, MD 3376 Lockwood Dr, San Diego, CA 92123-2618 Ph: Not Available | Dr Charles Derrick Farwell, MD Naval Hospital, Camp Pendleton, Sant Margarita Rd, Bldg H100; Attention: Code 094, Camp Pendleton, CA 92055-5191 Ph: (760) 725-8882 |
Tyler David James, MD General Practice Medicare: Medicare Enrolled Practice Location: 33 Area Branch Medical Clinic, Camp Pendleton, CA 92055 Phone: 760-725-3879 |
Dr. James Michael Liang, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: Box 555191, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-763-1515 |
Mckenzie Rooney, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Nmrtc Camp Pendleton, 4th Floor, Rm 4172, Camp Pendleton, CA 92055 Phone: 760-725-1288 |
Dr. Mona Marcella Colianno, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1st Mlg Clr 1, Camp Pendleton, CA 92055 Phone: 760-725-1457 |
Victoria Harrison, MD General Practice Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 |
Jillian Rose Martin, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1st Fssg, Mssg 15 Box 555717, Camp Pendleton, CA 92055 Phone: 760-725-3785 |
Dr. Anne Bryant Roberts, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Santa Marguerita Road, Bldg H100 Attn: Code 094, Camp Pendleton, CA 92055 Phone: 760-725-8882 |