Dr Scott E Robertson, MD | |
877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | |
(805) 474-8450 | |
(805) 474-8454 |
Full Name | Dr Scott E Robertson |
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Gender | Male |
Speciality | Family Medicine |
Location | 877 Oak Park Blvd, Pismo 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 |
---|---|---|---|
1811970437 | NPI | - | NPPES |
7202506 | Other | CA | AETNA PIN |
00A817090 | Other | CA | BLUE SHIELD OF CALIFORNIA |
A81709 | Other | CA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A81709 (California) | Primary |
Entity Name | Pacific Central Coast Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott E Robertson, MD 504 Plaza Dr, Santa Maria, CA 93454-6917 Ph: (805) 739-3474 | Dr Scott E Robertson, MD 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 Ph: (805) 474-8450 |
David Ruiz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Shauna Lynch, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 | |
Dr. Frederick W. Thom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd., Med Plus Medical Center, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Johannes A. Haar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Dewey Sandberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Dr. Karen Myrl Ramos Goodman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Michael R. Velarde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 |