| Dr Eric Detlef Frey, MD | |
|
1041 N China Lake Blvd Ste B, Ridgecrest, CA 93555-3183 | |
| (760) 446-0121 | |
| (760) 446-0734 |
| Full Name | Dr Eric Detlef Frey |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 18 Years |
| Location | 1041 N China Lake Blvd Ste B, 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 |
|---|---|---|---|
| 1891091682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A116953 (California) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | A116953 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yuma Regional Medical Center | 2062314826 | 359 |
| Entity Name | Yuma Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Detlef Frey, MD 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 446-0121 | Dr Eric Detlef Frey, MD 1041 N China Lake Blvd Ste B, Ridgecrest, CA 93555-3183 Ph: (760) 446-0121 |
Dr. Kevin Sean Flanigan, MD Gastroenterology 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. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 | |
Mr. Ehssan Pour Ramezani, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3899 | |
Andrew Modic, MD Gastroenterology 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 Gastroenterology Medicare: Medicare Enrolled Practice Location: 409 Drummond Ave, Ridgecrest, CA 93555 Phone: 760-371-2128 Fax: 760-371-1043 | |
Dr. Vernon Harvey Shull, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1 Chamonix Rd, Ridgecrest, CA 93555 Phone: 760-446-5128 | |
Everard Hudson Hughes Jr., MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3360 Fax: 760-499-3361 |