Beaver Medical Group Pc is a
Family Medicine based in Yucaipa, California. Beaver Medical Group Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
33758 Yucaipa Blvd, Yucaipa, California. It can be reached at their office (for appointments etc.) via phone at
(909) 795-9747.
NPI number for Beaver Medical Group Pc is 1205013323 and their current mailing address is Po Box 10069, San Bernardino, California. Beaver Medical Group Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1205013323.
Healthcare Provider's Profile
| Full Name | Beaver Medical Group Pc |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 33758 Yucaipa Blvd, Yucaipa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205013323
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 09/30/2022
Medical Identifiers
Medical identifiers for Beaver Medical Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205013323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Beaver Medical Group Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beaver Medical Group Pc
Po Box 10069,
San Bernardino, CA 92423-0069
Ph: (909) 335-4188 | Beaver Medical Group Pc
33758 Yucaipa Blvd,
Yucaipa, CA 92399-2243
Ph: (909) 795-9747 |
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