| Marque R Dietzler, PA | |
|
11234 Anderson St, Loma Linda, CA 92354-2804 | |
| (909) 558-4444 | |
| Not Available |
| Full Name | Marque R Dietzler |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 11234 Anderson St, Loma Linda, 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 |
|---|---|---|---|
| 1073968459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Larry C Hughes Md Inc A Medical Corporation | 8426372988 | 6 |
| La Laser Center Pc A Professional Medical Corporation | 9537181185 | 81 |
| 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 |
| Entity Name | La Laser Center PC a Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306982855 PECOS PAC ID: 9537181185 Enrollment ID: O20051222000459 |
| Entity Name | Larry C Hughes MD Inc a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861546681 PECOS PAC ID: 8426372988 Enrollment ID: O20150112000950 |
| Mailing Address | Practice Location Address |
|---|---|
| Marque R Dietzler, PA 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (951) 746-6126 | Marque R Dietzler, PA 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4444 |
Mr. Randal Keith Gilman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92350 Phone: 909-558-4475 Fax: 909-558-4143 |
Ms. Jocelyn Isabel Castaneda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24785 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7294 |
Elaine Marie Legaspi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10859 Heirloom Way, Loma Linda, CA 92354 Phone: 626-347-5904 |
Manjot Kaur, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-1000 |
Liming Bu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25333 Barton Rd, Loma Linda, CA 92350 Phone: 909-558-6641 |
Minh Anh Luong Maina, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 |
Micah Clement, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600 |