| Carol Renke Md Pc | |
| 
					72760 El Paseo Ste 1 Palm Desert CA 92260-3301  | |
| (760) 776-8444 | |
| (760) 776-8440 | 
| Full Name | Carol Renke Md Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 72760 El Paseo Ste 1, Palm Desert, California | 
| Authorized Official Name and Position | Carol Renke (OWNER/PHYSICIAN) | 
| Authorized Official Contact | 7604082040 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carol Renke Md Pc 72760 El Paseo Ste 1 Palm Desert CA 92260-3301 Ph: (760) 776-8444  | Carol Renke Md Pc 72760 El Paseo Ste 1 Palm Desert CA 92260-3301 Ph: (760) 776-8444  | 
| NPI Number | 1477324069 | 
|---|---|
| Provider Enumeration Date | 01/11/2024 | 
| Last Update Date | 01/11/2024 | 
| Medicare PECOS PAC ID | 1052751591 | 
|---|---|
| Medicare Enrollment ID | O20240430003957 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477324069 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Carol Renke | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1407878473 PECOS PAC ID: 2961451661 Enrollment ID: I20050120000299  | 
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