| Everard Hudson Hughes Jr, MD | |
|
1011 N China Lake Blvd, Ridgecrest, CA 93555-3130 | |
| (760) 499-3360 | |
| (760) 499-3361 |
| Full Name | Everard Hudson Hughes Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 1011 N China Lake Blvd, 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 |
|---|---|---|---|
| 1225033152 | NPI | - | NPPES |
| 100369490D | Medicaid | KS | |
| P00253469 | Other | RAILROAD MC | |
| 104879 | Other | KS | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 04-28775 (Kansas) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | G32722 (California) | Primary |
| Entity Name | North Platte Nebraska Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700855533 PECOS PAC ID: 6507856697 Enrollment ID: O20040512000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Everard Hudson Hughes Jr, MD 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 499-3360 | Everard Hudson Hughes Jr, MD 1011 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 499-3360 |
Dr. Kevin Sean Flanigan, MD Hematology & Oncology 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. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 | |
Mr. Ehssan Pour Ramezani, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3899 | |
Andrew Modic, MD Hematology & Oncology 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 Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 409 Drummond Ave, Ridgecrest, CA 93555 Phone: 760-371-2128 Fax: 760-371-1043 | |
Dr. Vernon Harvey Shull, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1 Chamonix Rd, Ridgecrest, CA 93555 Phone: 760-446-5128 |