Sarah Ruberman, MD | |
85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | |
(760) 942-4000 | |
Not Available |
Full Name | Sarah Ruberman |
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Gender | Female |
Speciality | Pediatrics |
Location | 85 Sierra Park Rd, Mammoth Lakes, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225490659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A162392 (California) | Primary |
Entity Name | Southern Mono Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
Mailing Address | Practice Location Address |
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Sarah Ruberman, MD Po Box 242, Mammoth Lakes, CA 93546-0029 Ph: (760) 924-4000 | Sarah Ruberman, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 Ph: (760) 942-4000 |
Grace Charmie Kim, MD, MPP Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd # A, Mammoth Lakes, CA 93546 Phone: 760-924-4000 | |
Dr. Richard Owen Johnson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Road, Suite A, Mammoth Lakes, CA 93546 Phone: 760-924-4000 Fax: 760-924-4091 | |
Dr. Kim Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4000 Fax: 760-924-4091 | |
Dr. Kristin Elizabeth Collins, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 630-212-6605 | |
Mary Bathen Bissell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Road, Mammoth Lakes, CA 93546 Phone: 760-924-4012 |