Lisa Monique Bodon, MD | |
555 E Tachevah Dr, Suite 2w #201, Palm Springs, CA 92262-5750 | |
(760) 323-9309 | |
(760) 610-8995 |
Full Name | Lisa Monique Bodon |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 18 Years |
Location | 555 E Tachevah Dr, Palm Springs, 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 |
---|---|---|---|
1063619013 | NPI | - | NPPES |
00A978690 | Medicaid | CA | |
GR0042690 | Medicaid | CA | |
ZZZ50078Y | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A97869 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eisenhower Medical Center | Rancho mirage, CA | Hospital |
Desert Regional Medical Center | Palm springs, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Desert Valley Obgyn Inc | 9931477700 | 3 |
Entity Name | Halo Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467506451 PECOS PAC ID: 7012806052 Enrollment ID: O20040315001110 |
Entity Name | Emergency Associates Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003866120 PECOS PAC ID: 8022196518 Enrollment ID: O20080424000144 |
Entity Name | Urologic Institute Of The High Desert Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376867333 PECOS PAC ID: 3476681008 Enrollment ID: O20100503000190 |
Entity Name | Desert Valley Obgyn Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851828222 PECOS PAC ID: 9931477700 Enrollment ID: O20170620001064 |
Entity Name | Palm Valley Multi-specialty Medical Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770344186 PECOS PAC ID: 8628412418 Enrollment ID: O20240220003822 |
Mailing Address | Practice Location Address |
---|---|
Lisa Monique Bodon, MD 555 E Tachevah Dr, Suite 2w #201, Palm Springs, CA 92262-5750 Ph: (760) 323-9309 | Lisa Monique Bodon, MD 555 E Tachevah Dr, Suite 2w #201, Palm Springs, CA 92262-5750 Ph: (760) 323-9309 |
Mr. William Ralph Schmitt, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1100 N Palm Canyon Dr, Suite 107, Palm Springs, CA 92262 Phone: 760-322-3166 Fax: 706-322-9309 | |
Lisa Michele Barden, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1100 N Palm Canyon Dr, Suite 212, Palm Springs, CA 92262 Phone: 760-327-7900 Fax: 760-327-7905 | |
Alyssa Van Dyk, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 847-400-4252 | |
Mrs. Shakti Ava Mahapatra, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 S Palm Canyon Dr, Palm Springs, CA 92262 Phone: 760-773-4560 Fax: 760-773-4561 | |
Dr. Lara Hasan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1100 N Palm Canyon Dr, Suite 212, Palm Springs, CA 92262 Phone: 760-327-7900 Fax: 760-327-7905 | |
Dr. John A Demersseman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 555 E Tachevah Dr, Suite 2w201, Palm Springs, CA 92262 Phone: 760-323-9309 Fax: 760-325-8408 |