Dr Mark Andrew Willoughby, MD | |
319 F St, Ste 102, Chula Vista, CA 91910-2666 | |
(619) 476-1200 | |
(619) 420-7849 |
Full Name | Dr Mark Andrew Willoughby |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 27 Years |
Location | 319 F St, Chula Vista, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215931993 | NPI | - | NPPES |
00A697500 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A69750 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology And Laser Center Of San Diego | 5395748669 | 9 |
Entity Name | Dermatology & Laser Center Of San Diego |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396178 PECOS PAC ID: 5395748669 Enrollment ID: O20060807000479 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Andrew Willoughby, MD 319 F St, Ste 102, Chula Vista, CA 91910-2666 Ph: (619) 476-1200 | Dr Mark Andrew Willoughby, MD 319 F St, Ste 102, Chula Vista, CA 91910-2666 Ph: (619) 476-1200 |
Dr. Erick Alfonso Mafong, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 319 F St, Ste 102, Chula Vista, CA 91910 Phone: 619-476-1200 Fax: 619-420-7849 | |
Dr. Nancy Cheng Maly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 619-397-3295 | |
Dr. Peter P Rullan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 256 Landis Ave, 3rd Floor, Chula Vista, CA 91910 Phone: 619-426-9600 Fax: 619-426-4112 | |
Jennifer Rullan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 256 Landis Ave, Suite 300, Chula Vista, CA 91910 Phone: 619-422-1233 Fax: 619-426-4112 | |
Eugene James Nowak, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2440 Fenton Street, Suite 101, Chula Vista, CA 91914 Phone: 619-420-1840 Fax: 619-420-9630 | |
Dr. Cole Bradford Willoughby, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 319 F St, Ste 102, Chula Vista, CA 91910 Phone: 619-476-1200 Fax: 619-420-7849 |