Lisa Carrie Butler, | |
790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 | |
(909) 447-8585 | |
(909) 447-8593 |
Full Name | Lisa Carrie Butler |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 790 East Bonita Ave, Pomona, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003885302 | NPI | - | NPPES |
00G774000 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G77400 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Scripps Mercy Hospital | San diego, CA | Hospital |
Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internal Medicine Associates Medical Group Of San Diego, Inc. | 0143113282 | 6 |
Entity Name | Chaparral Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477733624 PECOS PAC ID: 6800709403 Enrollment ID: O20031110000605 |
Entity Name | Internal Medicine Associates Medical Group Of San Diego, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528152105 PECOS PAC ID: 0143113282 Enrollment ID: O20040203001142 |
Mailing Address | Practice Location Address |
---|---|
Lisa Carrie Butler, 840 Towne Center Dr, Chaparral Medical Group, Pomona, CA 91767-5900 Ph: (909) 398-1550 | Lisa Carrie Butler, 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 Ph: (909) 447-8585 |
Kenneth Spiers Brown, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1866 N Orange Grove Ave, Ste 102, Pomona, CA 91767 Phone: 909-620-4373 Fax: 909-620-7179 | |
Dr. Kerry Norman Gott, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 E Bonita Ave, Pomona, CA 91767 Phone: 909-596-7733 Fax: 909-450-0357 | |
Dr. Monica A Wong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 S Park Ave, Pomona, CA 91766 Phone: 909-868-0235 Fax: 909-623-0571 | |
Ossama Maloule, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 E Bonita Ave Bldg 1b, Pomona, CA 91767 Phone: 909-275-7470 Fax: 909-971-4532 | |
Rita Patrick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-630-7158 | |
Nadir Ali Eltahir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1940 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-865-6900 Fax: 909-865-6300 |