Dr Charis Kaiulani Bush, DO is a medicare enrolled "Family Medicine" physician in Montecito, California. Her current practice location is
1187 Coast Village Rd Ste 10a, Montecito, California. You can reach out to her office (for appointments etc.) via phone at
(805) 565-0020.
Dr Charis Kaiulani Bush is licensed to practice in California (license number 20441) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679104335.
Physician's Profile
| Full Name | Dr Charis Kaiulani Bush |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1187 Coast Village Rd Ste 10a, Montecito, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679104335
- Provider Enumeration Date: 01/31/2020
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012307689
- Enrollment ID: I20240614001421
Medical Identifiers
Medical identifiers for Dr Charis Kaiulani Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679104335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20441 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charis Kaiulani Bush is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Charis Kaiulani Bush, DO
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631
Ph: (310) 301-8707 | Dr Charis Kaiulani Bush, DO
1187 Coast Village Rd Ste 10a,
Montecito, CA 93108-2764
Ph: (805) 565-0020 |
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