| Brian Keith Constantine, DPM | |
|
82013 Doctor Carreon Blvd Ste H, Indio, CA 92201-5832 | |
| (760) 610-8398 | |
| (442) 300-2925 |
| Full Name | Brian Keith Constantine |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 82013 Doctor Carreon Blvd Ste H, Indio, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952349664 | NPI | - | NPPES |
| 000E34930 | Medicaid | CA | |
| 480023833 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E3493 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E3493 (California) | Primary |
| Provider Name | Norris Morrison Dpm Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871095190 PECOS PAC ID: 3476818170 Enrollment ID: O20180530001843 |
| Provider Name | Morrison Multi-specialties Companies Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154965093 PECOS PAC ID: 6002244506 Enrollment ID: O20200512003331 |
| Provider Name | Foot & Wound Care Of Indio |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295458941 PECOS PAC ID: 6901272830 Enrollment ID: O20221018003198 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Keith Constantine, DPM 18200 Yorba Linda Blvd, Suite 401, Yorba Linda, CA 92886-4056 Ph: () - | Brian Keith Constantine, DPM 82013 Doctor Carreon Blvd Ste H, Indio, CA 92201-5832 Ph: (760) 610-8398 |
Jonathan Kim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 81709 Dr Carreon Blvd Ste D3, Indio, CA 92201 Phone: 760-863-0070 | |
Dr. John E Ebaugh, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 81709 Dr Carreon Blvd, Suite D3, Indio, CA 92201 Phone: 760-863-0070 Fax: 760-863-0048 | |
Foot & Wound Care Of Indio Podiatrist Medicare: Medicare Enrolled Practice Location: 82013 Doctor Carreon Blvd Ste H, Indio, CA 92201 Phone: 760-610-8398 | |
Stacey J Clarke, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 82013 Doctor Carreon Blvd Ste H, Indio, CA 92201 Phone: 760-610-8398 Fax: 442-300-2925 | |
Luyen Pham, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 81713 Us Hwy 11, Ste F, Indio, CA 92201 Phone: 760-342-2493 | |
Foot And Ankle Associates Of The Desert Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 81709 Dr Carreon Blvd, Ste D3, Indio, CA 92201 Phone: 760-863-0070 Fax: 760-863-0048 | |
Luyen Pham Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 81713 Us Highway 111, Indio, CA 92201 Phone: 760-342-2493 Fax: 760-342-2549 |