Carlie Kennedy Thompson, MD | |
191 S Buena Vista St Ste 415, Burbank, CA 91505-4541 | |
(818) 333-2555 | |
(818) 333-2559 |
Full Name | Carlie Kennedy Thompson |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 14 Years |
Location | 191 S Buena Vista St Ste 415, Burbank, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639480759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 127831 (California) | Secondary |
2086X0206X | Surgery - Surgical Oncology | A127831 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Huntington Memorial Hospital | Pasadena, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 8921076795 | 16 |
Entity Name | Ucla Associated General Surgeons |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730147372 PECOS PAC ID: 6002728144 Enrollment ID: O20031105000607 |
Entity Name | The Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902861297 PECOS PAC ID: 8921076795 Enrollment ID: O20040920000697 |
Mailing Address | Practice Location Address |
---|---|
Carlie Kennedy Thompson, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Carlie Kennedy Thompson, MD 191 S Buena Vista St Ste 415, Burbank, CA 91505-4541 Ph: (818) 333-2555 |
Scott P. Sligh, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3808 W Riverside Dr, Suite#400, Burbank, CA 91505 Phone: 818-848-8840 Fax: 818-848-0439 | |
Caroline Lee Wallner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 310, Burbank, CA 91505 Phone: 310-794-7700 Fax: 818-260-8718 | |
Dr. Gladys Yee Duen Ng, MD,MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 310, Burbank, CA 91505 Phone: 310-794-7700 Fax: 818-260-8718 | |
Steve F Heslov, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 191 S Buena Vista St, Burbank, CA 91505 Phone: 818-848-3763 | |
Dr. Mikael Petrosyan, MD Surgery Medicare: Medicare Enrolled Practice Location: 3128 Highland View Dr, Burbank, CA 91504 Phone: 818-618-9797 | |
Andrew Ihor Renner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2701 W Alameda Ave, Suite 300, Burbank, CA 91505 Phone: 818-843-1497 Fax: 818-843-5283 | |
Mr. Raymond Allen Shofler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 W Alameda Ave, Suite 314, Burbank, CA 91505 Phone: 818-842-9125 Fax: 818-842-9743 |