Jake Wilson, | |
1600 W Avenue J, Lancaster, CA 93534 | |
(661) 949-5000 | |
Not Available |
Full Name | Jake Wilson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 1600 W Avenue J, Lancaster, 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 |
---|---|---|---|
1700203023 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
St Joseph Hospital | Eureka, CA | Hospital |
Olympic Medical Center | Port angeles, WA | Hospital |
Samaritan Hospital | Moses lake, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
San Carlos Apache Healthcare Corporation | 0648580597 | 116 |
Western Washington Emergency Physicians Pllc | 0749514735 | 62 |
Grant County Public Hospital District 1 | 9931095692 | 88 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Montclair Emergency Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316044696 PECOS PAC ID: 8022019702 Enrollment ID: O20070123000593 |
Entity Name | San Dimas Emergency Medical Associates Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720239460 PECOS PAC ID: 0648334235 Enrollment ID: O20090127000007 |
Entity Name | Huntington Park Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053747121 PECOS PAC ID: 9638305204 Enrollment ID: O20131204001371 |
Mailing Address | Practice Location Address |
---|---|
Jake Wilson, 1128 Ocean Park Blvd Apt 201, Santa Monica, CA 90405-4765 Ph: (512) 470-6262 | Jake Wilson, 1600 W Avenue J, Lancaster, CA 93534 Ph: (661) 949-5000 |
Frederic S Auerbach, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Frank Detrana, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Matthew Richard, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Dr. Kitcha Ranch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 43830 10th St W, Lancaster, CA 93534 Phone: 661-940-1421 | |
Dr. Nancy Louise Ferrel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44900 60th St W, Lancaster, CA 93536 Phone: 661-948-8581 Fax: 661-945-8470 | |
Dr. Kelly A Hall, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 W Columbia Way, #103, Lancaster, CA 93534 Phone: 661-729-1500 Fax: 661-729-4500 | |
Diane L Kehrli, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 |