Dr Michael P Heffernan, MD | |
15 Santa Rosa St, San Luis Obispo, CA 93405-1811 | |
(805) 541-2650 | |
(805) 541-4043 |
Full Name | Dr Michael P Heffernan |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 32 Years |
Location | 15 Santa Rosa St, San Luis Obispo, 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 |
---|---|---|---|
1518923432 | NPI | - | NPPES |
201183400 | Medicaid | IN | |
2601929 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35074557 (Ohio) | Secondary |
207N00000X | Dermatology | 01072447A (Indiana) | Secondary |
207N00000X | Dermatology | G80065 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
French Hospital Medical Center | San luis obispo, CA | Hospital |
Marian Regional Medical Center | Santa maria, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Luis Dermatology And Laser Clinic Inc | 5496700767 | 6 |
Entity Name | San Luis Dermatology & Laser Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568431500 PECOS PAC ID: 5496700767 Enrollment ID: O20050318000855 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael P Heffernan, MD 15 Santa Rosa St, San Luis Obispo, CA 93405-1811 Ph: (805) 541-2650 | Dr Michael P Heffernan, MD 15 Santa Rosa St, San Luis Obispo, CA 93405-1811 Ph: (805) 541-2650 |
Dr. James Lee Longabaugh, MD12 Dermatology Medicare: Not Enrolled in Medicare Practice Location: 990 Pacific St, San Luis Obispo, CA 93401 Phone: 805-544-5567 Fax: 805-544-3265 | |
Lisa Lindvall Aquino, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 990 Pacific St, San Luis Obispo, CA 93401 Phone: 805-544-5567 Fax: 805-544-5567 | |
Christine Denise Kilcline, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 990 Pacific St, San Luis Obispo, CA 93401 Phone: 805-544-5567 Fax: 805-544-3265 | |
Ronnie M Abraham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 Phone: 805-548-1550 Fax: 805-623-1595 | |
John Barry Siebenlist, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St, Suite 220, San Luis Obispo, CA 93401 Phone: 805-541-0668 Fax: 805-541-8213 | |
Charles B. Fishman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St, Suite 410, San Luis Obispo, CA 93401 Phone: 805-541-4180 Fax: 805-541-2542 | |
Robert Jeffrey Herten, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15 Santa Rosa St, San Luis Obispo, CA 93405 Phone: 805-541-2650 Fax: 805-541-4043 |