Mark H Bouffard Iv, MD | |
72650 Fred Waring Dr, Suite 214, Palm Desert, CA 92260-5006 | |
(760) 776-7999 | |
(760) 776-7994 |
Full Name | Mark H Bouffard Iv |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 27 Years |
Location | 72650 Fred Waring Dr, Palm Desert, 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 |
---|---|---|---|
1528168622 | NPI | - | NPPES |
P00404516 | Other | CA | MC RAIL ROAD |
330808867 | Other | CA | BLUE CROSS GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A89206 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eisenhower Medical Center | Rancho mirage, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain And Spine Center Of The Desert Inc | 4385811009 | 2 |
Entity Name | Pain And Spine Center Of The Desert Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285902403 PECOS PAC ID: 4385811009 Enrollment ID: O20120120000752 |
Mailing Address | Practice Location Address |
---|---|
Mark H Bouffard Iv, MD 72650 Fred Waring Dr, Suite 214, Palm Desert, CA 92260-5006 Ph: (760) 776-7999 | Mark H Bouffard Iv, MD 72650 Fred Waring Dr, Suite 214, Palm Desert, CA 92260-5006 Ph: (760) 776-7999 |
Dr. Jay D Roberts, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 77920 Country Club Dr, Suite 6-1, Palm Desert, CA 92211 Phone: 760-200-3336 Fax: 760-200-0026 | |
Eric E Carino, OT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 72670 Fred Waring Dr, Ste 203, Palm Desert, CA 92260 Phone: 760-285-4434 |