| Dr Raymond Dean Jennings, MD | |
|
15230 Lakeshore Dr, Clearlake, CA 95422-8107 | |
| (707) 995-4500 | |
| (707) 994-2401 |
| Full Name | Dr Raymond Dean Jennings |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 64 Years |
| Location | 15230 Lakeshore Dr, Clearlake, 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 |
|---|---|---|---|
| 1386659167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A20599 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Home Care Services | Lower lake, CA | Home health agency |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Adventist Health Howard Memorial | Willits, CA | Hospital |
| Meadowood Nursing Center | Clearlake, CA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Clearlake Hospital Inc. | 3072421197 | 84 |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymond Dean Jennings, MD 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 | Dr Raymond Dean Jennings, MD 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 |
John Vidrih, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 |
Dr. Ilkyoon Kim, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15666 18th Avenue, Clearlake, CA 95422 Phone: 707-994-4210 Fax: 707-994-0839 |
Dr. Milagros Tolentino, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15666 18th Ave, Clearlake, CA 95422 Phone: 707-994-9469 Fax: 707-994-8758 |
Thomas C Kreck, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 |
Dr. Manush Ghazaryan, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 |
Eric E. Kim, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 4456 Manzanita Ave, Suite# C, Clearlake, CA 95422 Phone: 707-994-9191 Fax: 707-994-9090 |
Marc Randall Shapiro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Emerson St, Suite A, Clearlake, CA 95422 Phone: 707-994-7241 Fax: 707-994-0870 |