| Thomas Kent Donaldson, MD | |
|
900 E Washington St, #200, Colton, CA 92324-7111 | |
| (909) 882-5867 | |
| (909) 503-1913 |
| Full Name | Thomas Kent Donaldson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 40 Years |
| Location | 900 E Washington St, Colton, 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 |
|---|---|---|---|
| 1457315269 | NPI | - | NPPES |
| 00556820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | G55682 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Redlands Community Hospital | Redlands, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1153 |
| Paragon Physical Therapy And Rehab Llc | 4284902339 | 59 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kent Donaldson, MD 399 E 21st St, San Bernardino, CA 92404-4815 Ph: (909) 882-5867 | Thomas Kent Donaldson, MD 900 E Washington St, #200, Colton, CA 92324-7111 Ph: (909) 882-5867 |
David Lyman Wood, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 E Washington St, Suite 100, Colton, CA 92324 Phone: 909-433-3200 Fax: 909-424-0307 | |
Milton Kenneth Mudge, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Orthopaedic Administration, Colton, CA 92324 Phone: 909-580-6330 Fax: 909-580-6369 | |
Richard A Biama, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St Ste 200, Colton, CA 92324 Phone: 909-882-5867 Fax: 909-503-1913 | |
Dr. David Ruckle, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 400 N. Pepper Ave., Mob 205, Colton, CA 92324 Phone: 909-580-1000 | |
Mr. Wade Garret Fueconcillo, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1775 |