Dr Edward Lewis Spellman, MD | |
7000 Boulder Ave, Highland, CA 92346 | |
(909) 862-1191 | |
Not Available |
Full Name | Dr Edward Lewis Spellman |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 7000 Boulder Ave, Highland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558303727 | NPI | - | NPPES |
250952200 | Other | DEPT OF LABOR | |
061325634 | Other | COMM INS | |
061325634 | Other | UNITED HEALTH | |
010031860CT01 | Other | BLUE CROSS ANTHEM | |
061325634 | Other | CHAMPUS | |
140400 | Other | WORK COMP | |
NHS133 | Other | OXFORD | |
031860 | Other | CONNECTI CARE | |
130009173 | Other | RR MEDICARE | |
001318600 | Medicaid | CT | |
00131860000 | Other | BLUE CROSS FAMILY PLAN | |
0983647004 | Other | CIGNA | |
061325634 | Other | COMMUNITY HEALTH | |
06132S634 | Other | AETNA | |
0613Z5634 | Other | FIRST HEALTH | |
OR0088 | Other | HEALTHNET |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 031860 (Connecticut) | Primary |
Entity Name | Beaver Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Entity Name | Precision Occupational Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821290024 PECOS PAC ID: 4183764574 Enrollment ID: O20091215000655 |
Entity Name | Precision Occupational Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821290024 PECOS PAC ID: 4183764574 Enrollment ID: O20100517000803 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Lewis Spellman, MD 1615 Orange Tree Ln, Redlands, CA 92374-4501 Ph: (909) 786-0725 | Dr Edward Lewis Spellman, MD 7000 Boulder Ave, Highland, CA 92346 Ph: (909) 862-1191 |
Wenyu Sun, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Feng Liu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-7276 | |
Robert A Klein, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Dr. Bradley A Cole, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 |