Bruce K Reisman, MD | |
3907 Waring Rd Ste 1a, Oceanside, CA 92056-4454 | |
(760) 724-8749 | |
(760) 724-2604 |
Full Name | Bruce K Reisman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 3907 Waring Rd Ste 1a, Oceanside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699785014 | NPI | - | NPPES |
00G590560 | Other | CA | BLUE SHIELD |
00G590560 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | LT4368 (New Hampshire) | Secondary |
207Y00000X | Otolaryngology | G59056 (California) | Primary |
Entity Name | Northbay Healthcare Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
Entity Name | Ent Associates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720098148 PECOS PAC ID: 0547279523 Enrollment ID: O20060419000696 |
Entity Name | Aristamd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235671660 PECOS PAC ID: 5092120816 Enrollment ID: O20210209000178 |
Mailing Address | Practice Location Address |
---|---|
Bruce K Reisman, MD 3907 Waring Rd Ste 1a, Oceanside, CA 92056-4454 Ph: (760) 724-8749 | Bruce K Reisman, MD 3907 Waring Rd Ste 1a, Oceanside, CA 92056-4454 Ph: (760) 724-8749 |
Robert Jacobs, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3907 Waring Rd Ste 1, Oceanside, CA 92056 Phone: 760-724-8749 | |
Anton Kushnaryov, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3909 Waring Rd Ste A, Oceanside, CA 92056 Phone: 760-726-2440 Fax: 760-726-0644 | |
Tanner Miller, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 760-725-1288 | |
Dr. Julie Ann Berry, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3909 Waring Rd Ste A, Oceanside, CA 92056 Phone: 760-726-2440 |