Beaver Medical Group P C is a
Internal Medicine based in Banning, California. Beaver Medical Group P C is licensed to practice in * (Not Available) (license number ) and their current practice location is
6109 W Ramsey St, Banning, California. It can be reached at their office (for appointments etc.) via phone at
(951) 845-0313.
NPI number for Beaver Medical Group P C is 1619914959 and their current mailing address is Po Box 35380, Las Vegas, Nevada. Beaver Medical Group P C
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619914959.
Healthcare Provider's Profile
| Full Name | Beaver Medical Group P C |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 6109 W Ramsey St, Banning, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619914959
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 04/14/2025
Medical Identifiers
Medical identifiers for Beaver Medical Group P C such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619914959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | 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. Beaver Medical Group P C is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beaver Medical Group P C
Po Box 35380,
Las Vegas, NV 89133-5380
Ph: (702) 579-3209 | Beaver Medical Group P C
6109 W Ramsey St,
Banning, CA 92220-3051
Ph: (951) 845-0313 |
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