| Dr Derrick Tint, MD | |
|
39755 Date St Ste 105, Murrieta, CA 92563-2007 | |
| (951) 461-0770 | |
| Not Available |
| Full Name | Dr Derrick Tint |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 12 Years |
| Location | 39755 Date St Ste 105, Murrieta, 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 |
|---|---|---|---|
| 1033554423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD463754 (Pennsylvania) | Secondary |
| 207Y00000X | Otolaryngology | A160407 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Ritvik Mehta Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538302997 PECOS PAC ID: 8022163286 Enrollment ID: O20090911000428 |
| Entity Name | Derrick Tint, Md Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659969590 PECOS PAC ID: 6305250309 Enrollment ID: O20210203001227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derrick Tint, MD 12 Lee, Irvine, CA 92620-6201 Ph: (949) 246-3072 | Dr Derrick Tint, MD 39755 Date St Ste 105, Murrieta, CA 92563-2007 Ph: (951) 461-0770 |
Dr. Richard Donald Fantozzi, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 38721 Via Majorca, Murrieta, CA 92562 Phone: 619-972-4259 | |
Matthew Edward Leach, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 39755 Date St, Murrieta, CA 92563 Phone: 951-461-0770 | |
Dr. Michael G Forrester, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 25150 Hancock Ave Ste 204, Murrieta, CA 92562 Phone: 951-698-8222 Fax: 951-698-7411 | |
Dr. Todd M. Roberts, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 25150 Hancock Ave, Suite 204, Murrieta, CA 92562 Phone: 951-698-8222 Fax: 951-698-7411 |