| Bruce K Reisman, MD | |
|
3907 Waring Rd Ste 1a, Oceanside, CA 92056-4454 | |
| (760) 724-8749 | |
| (760) 724-2604 |
| Full Name | Bruce K Reisman |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 3907 Waring Rd Ste 1a, Oceanside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699785014 | NPI | - | NPPES |
| 00G590560 | Other | CA | BLUE SHIELD |
| 00G590560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | LT4368 (New Hampshire) | Secondary |
| 207Y00000X | Otolaryngology | G59056 (California) | Primary |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Entity Name | Ent Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720098148 PECOS PAC ID: 0547279523 Enrollment ID: O20060419000696 |
| Entity Name | Aristamd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235671660 PECOS PAC ID: 5092120816 Enrollment ID: O20210209000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce K Reisman, MD 3907 Waring Rd Ste 1a, Oceanside, CA 92056-4454 Ph: (760) 724-8749 | Bruce K Reisman, MD 3907 Waring Rd Ste 1a, Oceanside, CA 92056-4454 Ph: (760) 724-8749 |
Robert Jacobs, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3907 Waring Rd Ste 1, Oceanside, CA 92056 Phone: 760-724-8749 | |
Anton Kushnaryov, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3909 Waring Rd Ste A, Oceanside, CA 92056 Phone: 760-726-2440 Fax: 760-726-0644 | |
Dr. Julie Ann Berry, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3909 Waring Rd Ste A, Oceanside, CA 92056 Phone: 760-726-2440 |