| Asante Diane Fennell, PA-C | |
|
41990 Cook St Bldg H, Palm Desert, CA 92211-6100 | |
| (760) 327-7900 | |
| (760) 327-7905 |
| Full Name | Asante Diane Fennell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 41990 Cook St Bldg H, Palm Desert, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063196723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA66472 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Group Of The Hudson Valley Pc | 3072575109 | 134 |
| Entity Name | Premier Medical Group of the Hudson Valley PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255437166 PECOS PAC ID: 3072575109 Enrollment ID: O20070301000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Asante Diane Fennell, PA-C 17223 Cerritos St, Fontana, CA 92336-1584 Ph: Not Available | Asante Diane Fennell, PA-C 41990 Cook St Bldg H, Palm Desert, CA 92211-6100 Ph: (760) 327-7900 |
Tiffany B Capobianco, NUTRITION CONSULTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41990 Cook St Ste F2006, Palm Desert, CA 92211 Phone: 760-285-1221 |
Robert Ciarloni, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 73211 Fred Waring Dr, Suite 100, Palm Desert, CA 92260 Phone: 760-568-4939 Fax: 760-773-0001 |
Christina Elizabeth Sloan, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44139 Monterey Ave Ste A102, Palm Desert, CA 92260 Phone: 760-776-8444 Fax: 760-776-8440 |
Lolita Bruch Reyes-montoya, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 73211 Fred Waring Dr, Suite 100, Palm Desert, CA 92260 Phone: 760-568-4939 Fax: 760-568-4769 |
Chelsea Amber Gabaly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 73345 Highway 111 Ste 101, Palm Desert, CA 92260 Phone: 760-773-4948 |
Marlee Shanna Pocasangre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42575 Washington St, Palm Desert, CA 92211 Phone: 760-360-0333 |
Dr. Amy Meoli, MD Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41990 Cook St Ste 102, Palm Desert, CA 92211 Phone: 760-773-1411 Fax: 760-773-4398 |