Lucienne Simone Bouvier, MD | |
85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | |
(760) 934-3311 | |
Not Available |
Full Name | Lucienne Simone Bouvier |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 85 Sierra Park Rd, Mammoth Lakes, 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 |
---|---|---|---|
1578641601 | NPI | - | NPPES |
00G790500 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G79050 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mammoth Hospital | Mammoth lakes, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Mono Health Care District | 9830002401 | 71 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Southern Mono Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
Entity Name | Marshall Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962506097 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | Northern Inyo Healthcare District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922198712 PECOS PAC ID: 8921992090 Enrollment ID: O20040210000652 |
Entity Name | Northern Inyo Healthcare District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1922198712 PECOS PAC ID: 8921992090 Enrollment ID: O20100723000444 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
---|---|
Lucienne Simone Bouvier, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 Ph: (760) 932-3311 | Lucienne Simone Bouvier, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 Ph: (760) 934-3311 |
Dr. Richard Edward Hamilton Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1582 Forest Trail, Mammoth Lakes, CA 93546 Phone: 760-914-0693 Fax: 760-934-3215 | |
Dr. Audrey Pauly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4044 Fax: 760-924-4125 |