Bradley Curtis Idelshon, DO | |
1057 E Grand Ave, Arroyo Grande, CA 93420-2504 | |
(805) 270-1700 | |
(805) 481-7097 |
Full Name | Bradley Curtis Idelshon |
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Gender | Male |
Speciality | Family Medicine |
Location | 1057 E Grand Ave, Arroyo Grande, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538125745 | NPI | - | NPPES |
FHC71031F | Medicaid | CA | |
FHC71032F | Medicaid | CA | |
HAP71031F | Other | CA | FAMILY PACK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A5884 (California) | Primary |
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
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Bradley Curtis Idelshon, DO 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Bradley Curtis Idelshon, DO 1057 E Grand Ave, Arroyo Grande, CA 93420-2504 Ph: (805) 270-1700 |
George M Cury, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-481-7220 Fax: 805-481-7097 | |
Dr. Leland P Werner, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1455 Ewing Rd, Arroyo Grande, CA 93420 Phone: 805-489-3967 | |
W Damian Kramer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1057 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-481-7220 Fax: 805-481-7097 | |
Joseph J Ardito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1180 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-474-9159 | |
Heather H Elledge, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1154 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-395-3277 | |
Karin Wells Schiller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 Bridge St, Arroyo Grande, CA 93420 Phone: 805-481-1975 Fax: 805-481-2360 |