| Jake Walsh Dupree, MD | |
|
2501 N Sepulveda Blvd Ste 100, Manhattan Beach, CA 90266-2735 | |
| (310) 546-4599 | |
| Not Available |
| Full Name | Jake Walsh Dupree |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 2501 N Sepulveda Blvd Ste 100, Manhattan Beach, 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 |
|---|---|---|---|
| 1366901415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 90697 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | A176607 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roper Saint Francis Physicians Network | 5193874824 | 478 |
| Entity Name | Roper Saint Francis Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Walsh Dupree, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Jake Walsh Dupree, MD 2501 N Sepulveda Blvd Ste 100, Manhattan Beach, CA 90266-2735 Ph: (310) 546-4599 |
Dr. Jon Charles Malachowski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
Dr. Vidya Kiani Ramesh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 400 S Sepulveda Blvd, Suite 100, Manhattan Beach, CA 90266 Phone: 800-780-1230 | |
Keyvan Hariri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
Usha Raval, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
David L Austin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2501 N Sepulveda Blvd Ste 100, Manhattan Beach, CA 90266 Phone: 310-546-4599 Fax: 310-796-4941 | |
Maria Lui, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 | |
Lee Kissel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 |