| Dr Blaine Alsin Fowler, MD | |
|
8071 Cuyamaca St, Santee, CA 92071 | |
| (619) 568-8025 | |
| (619) 568-8095 |
| Full Name | Dr Blaine Alsin Fowler |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8071 Cuyamaca St, Santee, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790758506 | NPI | - | NPPES |
| ZZZ36915Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G36980 (California) | Primary |
| Entity Name | Sharp Rees-stealy Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blaine Alsin Fowler, MD 8701 Cuyamaca St, Santee, CA 92071 Ph: (619) 568-8025 | Dr Blaine Alsin Fowler, MD 8071 Cuyamaca St, Santee, CA 92071 Ph: (619) 568-8025 |
Ms. Nasaria Pilar Barreras, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 655 Park Center Dr, Santee, CA 92071 Phone: 619-596-6354 | |
Dr. Stacey L. Coleman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 858-499-2715 Fax: 619-568-8080 | |
Dr. David John Hawkins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 278 Town Center Pkwy, Suite 105, Santee, CA 92071 Phone: 619-449-6621 | |
Wendy Susan Dengerink, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8025 Fax: 619-568-8095 | |
Dr. Joyce M. Ildesa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 278 Town Center Pkwy, Santee, CA 92071 Phone: 619-449-6621 | |
Amber Jo Ortega, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 858-499-2715 Fax: 619-568-8080 | |
Ms. Kathleen Rachelle Outcalt, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 858-499-2715 Fax: 619-568-8081 |