Beaver Medical Group Pc is a medicare enrolled "Family Medicine" provider in Yucaipa, California. Their current practice location is
33758 Yucaipa Blvd, Yucaipa, California. You can reach out to their office (for appointments etc.) via phone at
(909) 795-9747.
Beaver Medical Group Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Beaver Medical Group Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1205013323.
Healthcare Provider's Profile
| Full Name | Beaver Medical Group Pc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 33758 Yucaipa Blvd, Yucaipa, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205013323
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 09/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547164295
- Enrollment ID: O20121120000196
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
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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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