| Douglas S Bishop, MD | |
|
4300 Golden Center Dr, Ste A, Placerville, CA 95667-6278 | |
| (530) 344-2020 | |
| (530) 622-9613 |
| Full Name | Douglas S Bishop |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 42 Years |
| Location | 4300 Golden Center Dr, Placerville, 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 |
|---|---|---|---|
| 1093721938 | NPI | - | NPPES |
| GR0065830 | Medicaid | CA | |
| G52918 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | G52918 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall Medical Center | Placerville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar Eye Center Medical Group | 2466409123 | 3 |
| Entity Name | Marshall Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114727377 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
| Entity Name | Cedar Eye Center Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700900966 PECOS PAC ID: 2466409123 Enrollment ID: O20050405000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas S Bishop, MD 4300 Golden Center Dr, Ste A, Placerville, CA 95667-6278 Ph: (530) 344-2020 | Douglas S Bishop, MD 4300 Golden Center Dr, Ste A, Placerville, CA 95667-6278 Ph: (530) 344-2020 |
Ronald C Evans, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4300 Golden Center Dr, Ste A, Placerville, CA 95667 Phone: 530-344-2020 Fax: 530-622-9613 |
Leilani Norton, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 4300 Golden Center Dr, Ste A, Placerville, CA 95667 Phone: 530-344-2020 Fax: 530-622-9613 |