Brett I Shore, MD | |
4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292-6385 | |
(888) 778-5000 | |
Not Available |
Full Name | Brett I Shore |
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Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 19 Years |
Location | 4551 Glencoe Ave Ste 145, Marina Del Rey, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1578699989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207XX0005X | Orthopaedic Surgery - Sports Medicine | A120811 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Shore Orthopedics A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376312074 PECOS PAC ID: 7416392279 Enrollment ID: O20240302000128 |
Mailing Address | Practice Location Address |
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Brett I Shore, MD 2009 Faymont Ave, Manhattan Beach, CA 90266-4150 Ph: (617) 686-7177 | Brett I Shore, MD 4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292-6385 Ph: (888) 778-5000 |
Dr. Antoine Roberts, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 101, Marina Del Rey, CA 90292 Phone: 310-577-8500 Fax: 310-577-8507 | |
Dr. Eleby Rudolph Washington Iii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 101, Marina Del Rey, CA 90292 Phone: 310-577-8500 Fax: 310-577-8507 | |
Gideon Blumstein, MD, MS Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4640 Admiralty Way Ste 600, Marina Del Rey, CA 90292 Phone: 310-448-7890 | |
Rojeh Melikian, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292 Phone: 310-574-0415 | |
Dr. Jacqueline Lezine-hanna, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 4644 Lincoln Blvd, Suite 101, Marina Del Rey, CA 90292 Phone: 310-577-8500 Fax: 310-577-8507 | |
Dr. Robert Green Watkins Iv, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Suite 600, Marina Del Rey, CA 90292 Phone: 310-448-7890 | |
Dr. Steven Shimoyama, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4644 Lincoln Blvd, Suite 414, Marina Del Rey, CA 90292 Phone: 310-821-5723 Fax: 310-821-5828 |