| Dr Douglas E Roberts Jr, MD | |
|
900 N Heritage Dr, Bldg E, Ridgecrest, CA 93555-5536 | |
| (760) 446-4571 | |
| (760) 446-0970 |
| Full Name | Dr Douglas E Roberts Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 49 Years |
| Location | 900 N Heritage Dr, 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 |
|---|---|---|---|
| 1508869926 | NPI | - | NPPES |
| 00G356060 | Other | BLUE SHIELD | |
| CA0103 | Other | JOHN DEERE | |
| 00G356060 | Medicaid | CA | |
| 00G356060 | Other | COMMERCIAL INS. | |
| 0616650001 | Other | DME | |
| 93555B036 | Other | WPS TRICARE | |
| 00G356060 | Other | BLUE CROSS | |
| 110039741 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G35606 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Douglas E Roberts Jr Md A Professional Corporation | 8921154592 | 2 |
| Entity Name | Douglas E Roberts Jr Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386899268 PECOS PAC ID: 8921154592 Enrollment ID: O20090923000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas E Roberts Jr, MD 900 N Heritage Dr, Bldg E, Ridgecrest, CA 93555-5536 Ph: (760) 446-4571 | Dr Douglas E Roberts Jr, MD 900 N Heritage Dr, Bldg E, Ridgecrest, CA 93555-5536 Ph: (760) 446-4571 |
Dr. Kevin Sean Flanigan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Ali Mohammed Syed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 | |
Mr. Ehssan Pour Ramezani, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3899 | |
Andrew Modic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Victoria Schauf, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 409 Drummond Ave, Ridgecrest, CA 93555 Phone: 760-371-2128 Fax: 760-371-1043 | |
Dr. Vernon Harvey Shull, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Chamonix Rd, Ridgecrest, CA 93555 Phone: 760-446-5128 | |
Everard Hudson Hughes Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3360 Fax: 760-499-3361 |