Ruby Havistin, MD | |
1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | |
(760) 499-3277 | |
Not Available |
Full Name | Ruby Havistin |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 1081 N China Lake Blvd, Ridgecrest, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477999159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D81994 (Maryland) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | A165007 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Virginia University Hospitals | Morgantown, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia University Medical Corporation | 1052224565 | 1613 |
West Virginia University Medical Corporation | 1052224565 | 1613 |
Entity Name | West Virginia University Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20050607001230 |
Entity Name | Specialty Physicians Of Garrett County, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265819866 PECOS PAC ID: 5698082436 Enrollment ID: O20150911000591 |
Mailing Address | Practice Location Address |
---|---|
Ruby Havistin, MD 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 499-3277 | Ruby Havistin, MD 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 499-3277 |
Dr. Kevin Sean Flanigan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Andrew Modic, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Victoria Schauf, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 409 Drummond Ave, Ridgecrest, CA 93555 Phone: 760-371-2128 Fax: 760-371-1043 | |
Dr. Vernon Harvey Shull, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1 Chamonix Rd, Ridgecrest, CA 93555 Phone: 760-446-5128 | |
Everard Hudson Hughes Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3360 Fax: 760-499-3361 | |
Mrs. Samantha Ann Mongar, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Suite 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870 | |
Gawtham Gutta, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 |