Mrs Lisa M Bukaty, MD | |
1441 Avocado Ave, Suite 309, Newport Beach, CA 92660 | |
(949) 644-8556 | |
(949) 644-6318 |
Full Name | Mrs Lisa M Bukaty |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 32 Years |
Location | 1441 Avocado Ave, Newport Beach, 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 |
---|---|---|---|
1437245867 | NPI | - | NPPES |
00G723640 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G72364 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kathleen P Hutton M D Inc | 7315925922 | 3 |
Entity Name | Kathleen P Hutton M D Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962598300 PECOS PAC ID: 7315925922 Enrollment ID: O20040709001393 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa M Bukaty, MD 1441 Avocado Ave, Suite 309, Newport Beach, CA 92660 Ph: (949) 644-8556 | Mrs Lisa M Bukaty, MD 1441 Avocado Ave, Suite 309, Newport Beach, CA 92660 Ph: (949) 644-8556 |
Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 | |
Joseph George Kamel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 501, Newport Beach, CA 92660 Phone: 949-720-1170 | |
Dr. Lisa Yun Xu, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5010 Campus Dr Ste 120, Newport Beach, CA 92660 Phone: 949-773-4784 | |
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522 | |
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111 | |
Samuel R Peterson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 309, Newport Beach, CA 92660 Phone: 949-640-0434 | |
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 |