| Dr Colleen Tamara Hiebenthal, MD | |
|
Uss Comstock, Lsd 45, Fpo, AP 96662-1733 | |
| (619) 556-3845 | |
| Not Available |
| Full Name | Dr Colleen Tamara Hiebenthal |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | Uss Comstock, Fpo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538396064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01068513A (Indiana) | Primary |
| Entity Name | Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colleen Tamara Hiebenthal, MD 530 K St, #203, San Diego, CA 92101-7058 Ph: (504) 237-6546 | Dr Colleen Tamara Hiebenthal, MD Uss Comstock, Lsd 45, Fpo, AP 96662-1733 Ph: (619) 556-3845 |
Dr. Christopher Allen Roller, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3d Recon Bn, Unit 36180, Fpo, AP 96389 Phone: 098-625-2486 | |
Dr. Brian Michael Fissel, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 301-295-4941 | |
Dr. Latrise Pamela Searson-norris, M.D. General Practice Medicare: Medicare Enrolled Practice Location: Unit 14010 Box Andersen, Fpo, AP 96543 Phone: 671-366-3231 | |
Mr. Juan Pablo Jose-ramos, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Psc 475, Fpo, AP 96350 Phone: 011-814-0816 | |
Emani Renee Silva, MD General Practice Medicare: Medicare Enrolled Practice Location: Unit 100218 Box 1, Fpo, AP 96666 Phone: 410-841-8098 | |
Dr. Andrew Danziger, MD General Practice Medicare: Medicare Enrolled Practice Location: Psc 466 Box 3, Fpo, AP 96595 Phone: 315-370-4211 |