| Brightside Medical Of Michigan Pc | |
|
5214f Diamond Heights Blvd # 3422 San Francisco CA 94131-2175 | |
| (415) 360-3348 | |
| Not Available |
| Full Name | Brightside Medical Of Michigan Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5214f Diamond Heights Blvd # 3422, San Francisco, California |
| Authorized Official Name and Position | Mirene Winsberg (PRESIDENT) |
| Authorized Official Contact | 4155056614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Medical Of Michigan Pc 5214f Diamond Heights Blvd # 3422 San Francisco CA 94131-2175 Ph: (415) 360-3348 | Brightside Medical Of Michigan Pc 5214f Diamond Heights Blvd # 3422 San Francisco CA 94131-2175 Ph: (415) 360-3348 |
| NPI Number | 1144800350 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 9830562776 |
|---|---|
| Medicare Enrollment ID | O20230224000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144800350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Justin Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20210128000438 |
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