Susan P Detwiler, MD | |
7110 Caminito Pepino, La Jolla, CA 92037-5721 | |
(858) 539-7300 | |
(858) 539-7305 |
Full Name | Susan P Detwiler |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 33 Years |
Location | 7110 Caminito Pepino, La Jolla, 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 |
---|---|---|---|
1184656290 | NPI | - | NPPES |
00G753212 | Medicaid | CA | |
00G753213 | Other | CA | BLUE SHIELD OF CA |
00G753214 | Other | CA | BLUE SHIELD OF CA |
070017499 | Other | CA | MEDICARE RAILROAD |
LAB25100F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G75321 (California) | Secondary |
207ND0900X | Dermatology - Dermatopathology | G75321 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatologist Medical Group Of North County Inc | 7315849981 | 16 |
Entity Name | Dermatologist Medical Group Of North County Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538191077 PECOS PAC ID: 7315849981 Enrollment ID: O20040123000476 |
Mailing Address | Practice Location Address |
---|---|
Susan P Detwiler, MD 7076 Caminito Valverde, La Jolla, CA 92037-5723 Ph: (858) 539-7300 | Susan P Detwiler, MD 7110 Caminito Pepino, La Jolla, CA 92037-5721 Ph: (858) 539-7300 |
Dr. Rawaa Almukhtar, M.D., MPH Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9898 Genesee Ave, La Jolla, CA 92037 Phone: 858-824-5434 | |
John Muzic, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10820 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-8646 | |
Dr. Brook L Brouha, MD/PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7300 Girard Ave, Suite 104, La Jolla, CA 92037 Phone: 858-750-2983 Fax: 858-750-2984 | |
Dr. Joyce Cheng, MD, MHS Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave Ste 850, La Jolla, CA 92037 Phone: 858-657-0267 Fax: 858-657-9485 | |
Susan M Stuart, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave Ste 480, La Jolla, CA 92037 Phone: 858-623-6333 Fax: 858-623-0204 | |
Dr. Joseph Franklin Walter, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Suite # 630, La Jolla, CA 92037 Phone: 858-452-3244 Fax: 858-452-1018 |