Kenneth Glen Wys, MD | |
47111 Monroe St, Indio, CA 92201-6739 | |
(760) 347-6191 | |
(760) 775-8017 |
Full Name | Kenneth Glen Wys |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 28 Years |
Location | 47111 Monroe St, Indio, 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 |
---|---|---|---|
1003929712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A64344 (California) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | A64344 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Glendale Mem Hospital & Hlth Center | Glendale, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Willow Brook Critical Care Medical Group, Inc | 3476975319 | 14 |
Entity Name | First Choice Physician Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
Entity Name | Hp Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992133474 PECOS PAC ID: 6608009766 Enrollment ID: O20140425001684 |
Entity Name | Kenneth G Wys Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578195632 PECOS PAC ID: 1557798402 Enrollment ID: O20200305001430 |
Entity Name | Willow Brook Critical Care Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811520224 PECOS PAC ID: 3476975319 Enrollment ID: O20200622002378 |
Entity Name | Vista Critical Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942971189 PECOS PAC ID: 8729479225 Enrollment ID: O20211216001656 |
Entity Name | Coachella Valley Anesthesia A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Glen Wys, MD 47111 Monroe St, Indio, CA 92201-6739 Ph: (760) 347-6191 | Kenneth Glen Wys, MD 47111 Monroe St, Indio, CA 92201-6739 Ph: (760) 347-6191 |
Dr. Jambur Eriah Chandrashekar, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 81719 Dr. Carreon Blvd, Ste A, Indio, CA 92201 Phone: 760-347-0707 Fax: 760-347-3378 | |
Dr. Sharon Reuben, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 46883 Monroe St Ste 200, Indio, CA 92201 Phone: 760-254-8960 Fax: 760-208-1802 | |
Mr. Mustaqeem Ahmed Qazi, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 82013 Dr Carreon Blvd, C, Indio, CA 92201 Phone: 760-863-0138 Fax: 760-863-0471 | |
Dr. Ian David Kaiser, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 46883 Monroe St Ste 200, Indio, CA 92201 Phone: 760-254-8960 Fax: 760-208-1802 | |
Dr. Javed Ahmad, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 81833 Doctor Carreon Blvd Ste 2, Indio, CA 92201 Phone: 760-863-0155 Fax: 760-863-0199 | |
Dr. Tahir Majid I, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 81709 Doctor Carreon Blvd, C-4, Indio, CA 92201 Phone: 760-342-8181 Fax: 760-342-0946 | |
Dr. Gregory Kuldanek, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 82915 Avenue 48, Indio, CA 92201 Phone: 760-352-4414 Fax: 616-957-7913 |