| Dr Jeffrey C Ricks, MD | |
|
1145 Sturgis Road, Twentynine Palms, CA 92278-8275 | |
| (760) 830-2354 | |
| Not Available |
| Full Name | Dr Jeffrey C Ricks |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1145 Sturgis Road, Twentynine Palms, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063476752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01058306A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | A85778 (California) | Primary |
| Entity Name | Seven Star Hospital Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey C Ricks, MD 1145 Sturgis Road, Twentynine Palms, CA 92278-8275 Ph: (760) 830-2354 | Dr Jeffrey C Ricks, MD 1145 Sturgis Road, Twentynine Palms, CA 92278-8275 Ph: (760) 830-2354 |
Ryan Snow, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2117 | |
Dr. Charles Richard Nixon Ii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Attn Professional Affairs, Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2194 | |
Koichi Shun Kunitake, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2722 | |
Kimberly Pistell, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2190 | |
Michael Lanker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2772 |