| David Huddleston, | |
|
153 Pioneer Ln, Bishop, CA 93514-2517 | |
| (760) 872-1606 | |
| Not Available |
| Full Name | David Huddleston |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 153 Pioneer Ln, Bishop, 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 |
|---|---|---|---|
| 1922270156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME166205 (Florida) | Secondary |
| 208600000X | Surgery | A128064 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kona Community Hospital | Kealakekua, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alii Health Center | 4486984549 | 44 |
| Entity Name | Alii Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285107698 PECOS PAC ID: 4486984549 Enrollment ID: O20191002003639 |
| Mailing Address | Practice Location Address |
|---|---|
| David Huddleston, 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 585-1178 | David Huddleston, 153 Pioneer Ln, Bishop, CA 93514-2517 Ph: (760) 872-1606 |
Dolphe Scott Clark, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 152 Pioneer Ln, Ste G, Bishop, CA 93514 Phone: 760-872-2244 Fax: 760-872-2245 | |
Robbin Cromer-tyler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 152 Pioneer Ln, Suite F, Bishop, CA 93514 Phone: 760-872-1606 Fax: 760-872-3463 | |
Mr. Stephen Akira Kobayashi, MD GENERAL SURGEON Surgery Medicare: Not Enrolled in Medicare Practice Location: 152 Pioneer Lane, Suite F, Bishop, CA 93514 Phone: 760-873-3503 Fax: 760-873-7544 |