Dr Lisa Shue, MD | |
724 S El Camino Real, San Clemente, CA 92672-4250 | |
(949) 493-6113 | |
(949) 493-5851 |
Full Name | Dr Lisa Shue |
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Gender | Female |
Speciality | Family Medicine |
Location | 724 S El Camino Real, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851928196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A178573 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Entity Name | Centers For Family Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Shue, MD 724 S El Camino Real, San Clemente, CA 92672-4250 Ph: (949) 493-6113 | Dr Lisa Shue, MD 724 S El Camino Real, San Clemente, CA 92672-4250 Ph: (949) 493-6113 |
Dr. Brian Francis Haskins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 151 Avenida Barcelona, San Clemente, CA 92672 Phone: 949-492-7363 | |
Dr. James Robert Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Calle Amanecer, Ste 100, San Clemente, CA 92673 Phone: 949-218-1482 Fax: 949-218-1470 | |
Dr. John Frederick Gentile, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673 Phone: 949-218-8050 | |
Kayla Ramsey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1031 Avenida Pico Ste 203, San Clemente, CA 92673 Phone: 949-557-0820 | |
Dr. Jeremy Paul Lamotte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Avenida Vista Hermosa Ste. 100, San Clemente, CA 92673 Phone: 949-218-8050 | |
Amit Batra, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 W Avenida Vista Hermosa Ste 120, San Clemente, CA 92672 Phone: 408-665-3726 | |
Dr. Tracy A Pantig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 724 S El Camino Real, San Clemente, CA 92672 Phone: 949-493-6113 Fax: 949-493-5851 |