Dr Blanca Bisuna, MD | |
1250 Peach Street, Suite A, San Luis Obispo, CA 93401-2837 | |
(805) 543-4043 | |
(805) 543-7640 |
Full Name | Dr Blanca Bisuna |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 1250 Peach Street, San Luis Obispo, 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 |
---|---|---|---|
1508199431 | NPI | - | NPPES |
CB234677 | Other | CA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A125110 (California) | Secondary |
207Q00000X | Family Medicine | A125110 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Blanca Bisuna, MD 117 West Bunny Avenue, Santa Maria, CA 93458-2805 Ph: (805) 543-4043 | Dr Blanca Bisuna, MD 1250 Peach Street, Suite A, San Luis Obispo, CA 93401-2837 Ph: (805) 543-4043 |
Michael Angelo Viggianelli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Hwy 1 California Mens Colony, San Luis Obispo, CA 93409 Phone: 805-547-7911 | |
Jacqueline Nicole Mariano Gallardo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 892 Aerovista Pl Ste 210, San Luis Obispo, CA 93401 Phone: 805-549-8023 Fax: 805-549-8252 | |
George S Kienle, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-4427 | |
Lisa Brazil, C.F.N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 320, San Luis Obispo, CA 93405 Phone: 805-250-4844 Fax: 057-850-3568 | |
Rodolfo Castillo-ruiz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1551 Bishop St, 160, San Luis Obispo, CA 93401 Phone: 805-269-1500 Fax: 805-269-1585 | |
Dr. Jonathan Stanley Hamrick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 47 Santa Rosa St, 47 Santa Rosa, San Luis Obispo, CA 93405 Phone: 805-542-9956 Fax: 805-594-1436 | |
Dr. Richard V Ascoli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Grand Ave, San Luis Obispo, CA 93407 Phone: 805-756-1211 Fax: 805-756-5298 |