| Bear Mountain Family Practice | |
|
41945 Big Bear Blvd Ste 200 Big Bear Lake CA 92315-2030 | |
| (909) 866-5868 | |
| (909) 866-5860 |
| Full Name | Bear Mountain Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 41945 Big Bear Blvd Ste 200, Big Bear Lake, California |
| Authorized Official Name and Position | Christopher H. Fagan (PRESIDENT) |
| Authorized Official Contact | 9098665868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Mountain Family Practice P.o. Box 6848, Pmb 278 41933 Big Bear Blvd Big Bear Lake CA 92315 Ph: (909) 866-5868 | Bear Mountain Family Practice 41945 Big Bear Blvd Ste 200 Big Bear Lake CA 92315-2030 Ph: (909) 866-5868 |
| NPI Number | 1720107592 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 02/23/2021 |
| Medicare PECOS PAC ID | 3476537200 |
|---|---|
| Medicare Enrollment ID | O20040617000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720107592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher H Fagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770538217 PECOS PAC ID: 9739071887 Enrollment ID: I20040325000805 |
Bear Valley Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41870 Garstin Drive, Big Bear Lake, CA 92315 Phone: 909-878-8276 Fax: 909-878-8282 | |
Big Bear Family Practice Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41945 Big Bear Blvd, Suite 200, Big Bear Lake, CA 92315 Phone: 909-866-6567 | |
Cary Stewart Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41820 Garstin Drive, Big Bear Lake, CA 92315 Phone: 909-878-8246 | |
The Doctor's House, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41870 Garstin Dr, Big Bear Lake, CA 92315 Phone: 678-570-7644 | |
David Horner Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41870 Garstin Dr, Big Bear Lake, CA 92315 Phone: 909-866-6501 | |
Family Health Center Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41820 Garstin Drive, Big Bear Lake, CA 92315 Phone: 909-878-8246 Fax: 909-878-8294 |