Asante Diane Fennell, PA-C in Palm Desert, CA - Medicare Physician Assistant

Asante Diane Fennell, PA-C is a medicare enrolled "Physician Assistant" in Palm Desert, California. Her current practice location is 41990 Cook St Bldg H, Palm Desert, California. You can reach out to her office (for appointments etc.) via phone at (760) 327-7900.

Asante Diane Fennell is licensed to practice in California (license number PA66472) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063196723.

Contact Information

	Asante Diane Fennell, PA-C
	41990 Cook St Bldg H, Palm Desert, CA 92211-6100
	(760) 327-7900
	(760) 327-7905

Map and Direction

Provider's Profile

Full Name	Asante Diane Fennell
Gender	Female
Speciality	Physician Assistant
Location	41990 Cook St Bldg H, Palm Desert, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063196723
Provider Enumeration Date: 06/13/2023
Last Update Date: 07/17/2025

Medicare PECOS Information:

PECOS PAC ID: 4880057850
Enrollment ID: I20230824001797

Medical Identifiers

Medical identifiers for Asante Diane Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063196723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA66472 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Asante Diane Fennell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Asante Diane Fennell, PA-C 17223 Cerritos St, Fontana, CA 92336-1584 Ph: () -	Asante Diane Fennell, PA-C 41990 Cook St Bldg H, Palm Desert, CA 92211-6100 Ph: (760) 327-7900

Reviews and Comments

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Rachel Frost Holybee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41990 Cook St Ste 701, Palm Desert, CA 92211 Phone: 760-327-7900 Fax: 760-327-7905
Chelsea Amber Gabaly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 73345 Highway 111 Ste 101, Palm Desert, CA 92260 Phone: 760-773-4948

Asante Diane Fennell, PA-C - Medicare Physician Assistant in Palm Desert, CA