| Wendy Velasco, MD | |
|
47-111 Monroe Street, Indio, CA 92201 | |
| (760) 347-7712 | |
| Not Available |
| Full Name | Wendy Velasco |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 47-111 Monroe Street, Indio, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235382052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A120444 (California) | Primary |
| 207P00000X | Emergency Medicine | 25MA08602600 (New Jersey) | Secondary |
| Entity Name | Victory Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980 |
| Entity Name | Santa Ana Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592187 PECOS PAC ID: 9234455015 Enrollment ID: O20150313001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Velasco, MD 47-111 Monroe Street, Indio, CA 92201 Ph: (760) 347-7712 | Wendy Velasco, MD 47-111 Monroe Street, Indio, CA 92201 Ph: (760) 347-7712 |
Frank Schuler, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 47111 Monroe St, Po Drawer Llll, Indio, CA 92201 Phone: 760-347-6191 | |
Fidel M Perez, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 82389 Grant Dr, Indio, CA 92201 Phone: 951-396-5584 | |
Dr. John Mardones, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 47111 Monroe St, Po Drawer Llll, Indio, CA 92201 Phone: 760-347-6191 |