Dr John Willis Puckett, MD | |
520 Superior Ave, #370, Newport Beach, CA 92663-3637 | |
(949) 574-7176 | |
(949) 574-7180 |
Full Name | Dr John Willis Puckett |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 520 Superior Ave, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306938022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | G38172A (California) | Primary |
Entity Name | Orange County Vascular Specialists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104190941 PECOS PAC ID: 9537321583 Enrollment ID: O20120508000755 |
Mailing Address | Practice Location Address |
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Dr John Willis Puckett, MD 520 Superior Ave, #370, Newport Beach, CA 92663-3637 Ph: (949) 574-7176 | Dr John Willis Puckett, MD 520 Superior Ave, #370, Newport Beach, CA 92663-3637 Ph: (949) 574-7176 |
Dr. Robert Gertmenian Burns, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 360 San Miguel Dr, Suite 608, Newport Beach, CA 92660 Phone: 949-760-1144 Fax: 949-760-1588 | |
Dr. Steven Robert Beanes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Superior Avenue, Suite 200-g, Newport Beach, CA 92663 Phone: 949-791-6767 Fax: 949-791-6768 | |
Peter C Wang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Superior Ave, Ste. 200-g, Newport Beach, CA 92663 Phone: 949-791-6767 Fax: 949-791-6768 | |
Vu Dinh, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 Old Newport Blvd, Newport Beach, CA 92663 Phone: 949-438-2476 | |
Dr. Jonathan David Shifren, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 359 San Miguel Dr, Suite 206, Newport Beach, CA 92660 Phone: 949-729-1731 Fax: 949-721-9194 | |
Heather Brien, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 361 Hospital Rd Ste 227, Newport Beach, CA 92663 Phone: 949-646-6212 Fax: 949-650-3013 | |
Christina Prendergast, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave Ste 301, Newport Beach, CA 92660 Phone: 949-272-2095 Fax: 949-272-2096 |