| Gordon D Phillips, MD | |
|
2 W Fern Ave, Redlands, CA 92373-5916 | |
| (909) 793-3311 | |
| (909) 793-2916 |
| Full Name | Gordon D Phillips |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine |
| Experience | 49 Years |
| Location | 2 W Fern Ave, Redlands, 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 |
|---|---|---|---|
| 1033158670 | NPI | - | NPPES |
| 00G548530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G54853 (California) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | G58853 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Exer Medical Corporation | 9032359534 | 313 |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Entity Name | Exer Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon D Phillips, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 793-3311 | Gordon D Phillips, MD 2 W Fern Ave, Redlands, CA 92373-5916 Ph: (909) 793-3311 |
Mr. Ronald Philip Hattis, MD MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1233 Friar Ln, Redlands, CA 92373 Phone: 909-793-2524 | |
Dr. Shellee Rae Lazar, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5616 Fax: 909-307-7518 | |
Dr. Cameo Ashley Carter, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 470 E Highland Ave, Redlands, CA 92373 Phone: 909-792-8866 Fax: 909-792-9395 | |
Dr. Tanya Audrey Margaret Deporto, MD, PHD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-825-7084 | |
Dr. Barry S. Solof, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1889 W Redlands Blvd, Redlands, CA 92373 Phone: 909-501-5167 |