| David A Birnbaum, MD | |
|
535 S Humboldt St, Battle Mountain, NV 89820-1988 | |
| (775) 635-2550 | |
| (775) 635-2437 |
| Full Name | David A Birnbaum |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 535 S Humboldt St, Battle Mountain, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285631580 | NPI | - | NPPES |
| 29507367 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 96-16 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | 96-16 (New Mexico) | Primary |
| Entity Name | Battle Mountain General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1104903103 PECOS PAC ID: 6901710144 Enrollment ID: O20171019002910 |
| Entity Name | Vitality Unlimited |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629540380 PECOS PAC ID: 4688095078 Enrollment ID: O20201014003105 |
| Mailing Address | Practice Location Address |
|---|---|
| David A Birnbaum, MD 535 S Humboldt St, Battle Mountain, NV 89820-1988 Ph: (775) 635-2550 | David A Birnbaum, MD 535 S Humboldt St, Battle Mountain, NV 89820-1988 Ph: (775) 635-2550 |
Dr. Michele F Leary, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 535 S Humboldt St, Battle Mountain, NV 89820 Phone: 925-822-5075 | |
Dr. Robin Willcourt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 535 S Humboldt St, Battle Mountain, NV 89820 Phone: 775-635-2424 Fax: 775-635-2437 |