| Dr Lawrence N Cosner Jr, MD | |
|
1111 N. China Lake Blvd Suite 190, Ridgecrest Rural Health Clinic, Ridgecrest, CA 93555 | |
| (760) 499-3855 | |
| (760) 499-3870 |
| Full Name | Dr Lawrence N Cosner Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1111 N. China Lake Blvd Suite 190, Ridgecrest, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851393813 | NPI | - | NPPES |
| 00G503710 | Other | BLUE SHIELD | |
| 00G503710 | Medicaid | CA | |
| 00G503710 | Other | COMMERCIAL INS. | |
| 0616650001 | Other | DME | |
| 110039740 | Other | RAILROAD MEDICARE | |
| 182651 | Other | AHI HEALTHLINK | |
| CA0103 | Other | JOHN DEERE | |
| 93555B097 | Other | TRIWEST/TRICARE | |
| 00G503710 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G50371 (California) | Primary |
| Entity Name | Ridgecrest Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence N Cosner Jr, MD 1111 N. China Lake Blvd Suite 190, Ridgecrest Rural Health Clinic, Ridgecrest, CA 93555 Ph: (760) 499-3854 | Dr Lawrence N Cosner Jr, MD 1111 N. China Lake Blvd Suite 190, Ridgecrest Rural Health Clinic, Ridgecrest, CA 93555 Ph: (760) 499-3855 |
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 |