Faculty Physicians And Surgeons Of Llusm is a medicare enrolled "Ophthalmology" provider in San Bernardino, California. Their current practice location is
2195 Club Center Dr, Suite A-l, San Bernardino, California. You can reach out to their office (for appointments etc.) via phone at
(909) 558-2154.
Faculty Physicians And Surgeons Of Llusm is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Faculty Physicians And Surgeons Of Llusm
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 1962452714.
Healthcare Provider's Profile
Full Name | Faculty Physicians And Surgeons Of Llusm |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 2195 Club Center Dr, San Bernardino, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962452714
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 02/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153227814
- Enrollment ID: O20250206000278
Medical Identifiers
Medical identifiers for Faculty Physicians And Surgeons Of Llusm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962452714 | NPI | - | NPPES |
GR0069027 | Medicaid | CA | |
GR006902V | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
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. Faculty Physicians And Surgeons Of Llusm 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 |
Faculty Physicians And Surgeons Of Llusm File Number 54701, Los Angeles, CA 90074-0001 Ph: (909) 558-3111 | Faculty Physicians And Surgeons Of Llusm 2195 Club Center Dr, Suite A-l, San Bernardino, CA 92408-4170 Ph: (909) 558-2154 |
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