| Jeffrey Dean Kohfeld, PA | |
|
72780 Country Club Dr Ste C300, Rancho Mirage, CA 92270-4150 | |
| (760) 341-5550 | |
| (833) 471-2093 |
| Full Name | Jeffrey Dean Kohfeld |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 72780 Country Club Dr Ste C300, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336240316 | NPI | - | NPPES |
| MK0794758 | Medicaid | CA | |
| PA16230 | Other | CA | CA LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA16230 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA16230 (California) | Primary |
| Entity Name | Desert Orthopedic Center a Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967753 PECOS PAC ID: 2466346739 Enrollment ID: O20040209001255 |
| Entity Name | Centers of Rehabilitation & Pain Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184933830 PECOS PAC ID: 9830378124 Enrollment ID: O20110119000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Dean Kohfeld, PA 840 E Mckellips Rd Ste 105, Mesa, AZ 85203-9654 Ph: (602) 491-0701 | Jeffrey Dean Kohfeld, PA 72780 Country Club Dr Ste C300, Rancho Mirage, CA 92270-4150 Ph: (760) 341-5550 |
Molly E Mckeown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-837-8218 |
Kevin A Vida, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Drive, Harry & Diane Rinker Building, Rancho Mirage, CA 92270 Phone: 760-568-2684 Fax: 760-837-2259 |
Gianna Belza, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Drive, Harry And Diane Rinker Blg, Rancho Mirage, CA 92270 Phone: 760-568-2684 Fax: 760-341-5832 |
Christopher Peter Naeyaert, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8131 |
Kirt Lee Edly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, CA 92270 Phone: 760-568-2684 Fax: 760-341-5832 |
Drew Zimmer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1632 |
Janice M. Koehler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-568-4330 Fax: 760-568-6470 |