| Philip Wasef, | |
|
350 E Commercial Rd, Suite 112, San Bernardino, CA 92408-4745 | |
| (480) 999-8295 | |
| (480) 999-8295 |
| Full Name | Philip Wasef |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 350 E Commercial Rd, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952729543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME128210 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C191957 (California) | Primary |
| Entity Name | Lifeline Walk In Medical & Mental Health Nursing Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134963309 PECOS PAC ID: 0749727147 Enrollment ID: O20240802002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Wasef, 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 Ph: (813) 972-2000 | Philip Wasef, 350 E Commercial Rd, Suite 112, San Bernardino, CA 92408-4745 Ph: (480) 999-8295 |
Antoinette Azar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 | |
Dr. Juan Lua Gonzalez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 W Hospitality Ln, Suite 312, San Bernardino, CA 92408 Phone: 866-205-3595 | |
Dr. Dennis Payne, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 | |
Gamil Fteeh, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 E Caroline St Ste J, San Bernardino, CA 92408 Phone: 909-835-1810 Fax: 909-835-1780 | |
Than Myint, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 | |
Dr. Lita S. Hedglin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 Fax: 949-499-8695 | |
Ricardo Whyte, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 |