Benjamin Illum, MD | |
200 W Arbor Dr, Mc 8770, San Diego, CA 92103-9000 | |
(619) 543-5297 | |
(619) 543-6476 |
Full Name | Benjamin Illum |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 12 Years |
Location | 200 W Arbor Dr, San Diego, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689913873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | A129002 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Scripps Green Hospital | La jolla, CA | Hospital |
Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
Pomerado Hospital | Poway, CA | Hospital |
St Mary Medical Center | Apple valley, CA | Hospital |
Community Hospital Of San Bernardino | San bernardino, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inpatient Specialists Of California Pc | 3476864448 | 289 |
Southern California Permanente Medical Group | 6002729175 | 7951 |
Palomar Intensivist Medical Group, Inc | 7911302468 | 13 |
Scripps Health | 9234033853 | 1362 |
Sound Physicians Intensivists Of Washington Pllc | 5395018808 | 71 |
Hospitalist Medicine Physicians Of Montana - Missoula Pc | 4688050347 | 6 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Scripps Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881636108 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
Entity Name | Chest Medicine And Critical Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841292521 PECOS PAC ID: 6103898259 Enrollment ID: O20040809001379 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
Entity Name | Inpatient Specialists Of California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
Entity Name | Palomar Intensivist Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821669698 PECOS PAC ID: 7911302468 Enrollment ID: O20210820001385 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Illum, MD 200 W Arbor Dr, Mc 8770, San Diego, CA 92103-9000 Ph: (619) 543-5297 | Benjamin Illum, MD 200 W Arbor Dr, Mc 8770, San Diego, CA 92103-9000 Ph: (619) 543-5297 |
Dr. Ramin Motarjemi, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069 | |
Dr. Shweta Warner, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012 | |
Dr. Matthew James Roosevelt, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091 | |
Dr. Daniel Joseph Desantis, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134 Phone: 619-532-7935 | |
Kris Kumar, Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Jedidiah Daniel Bell, Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434 | |
Dr. Umber Dube, MD PHD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122 Phone: 858-657-1675 |