Dr Bruce Todd Burks, MD | |
300 Hillmont Ave, Ventura, CA 93003-1651 | |
(805) 652-6000 | |
Not Available |
Full Name | Dr Bruce Todd Burks |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology |
Location | 300 Hillmont Ave, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528104924 | NPI | - | NPPES |
5200944 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301078708 (Michigan) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | C55912 (California) | Primary |
Entity Name | Pathology And Laboratory Consultants Of Long Island Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144212747 PECOS PAC ID: 0244222115 Enrollment ID: O20040331001217 |
Mailing Address | Practice Location Address |
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Dr Bruce Todd Burks, MD 4234 Eubank Blvd Ne Apt 11, Albuquerque, NM 87111-3438 Ph: (505) 504-2633 | Dr Bruce Todd Burks, MD 300 Hillmont Ave, Ventura, CA 93003-1651 Ph: (805) 652-6000 |
Dr. Brad S Adler, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003 Phone: 805-652-6000 | |
Dr. Linda J. Lee, MD Pathology Medicare: Medicare Enrolled Practice Location: 300 Hillmont Ave, Ventura, CA 93003 Phone: 213-867-7814 | |
Dr. Robert E James, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003 Phone: 805-652-6556 Fax: 805-652-6286 | |
Gerald E Dalgleish, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave, Ventura, CA 93003 Phone: 805-652-6000 | |
Dr. Janice Frank, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3291 Loma Vista Rd, Ventura, CA 93001 Phone: 805-652-6100 | |
Othon Jose Mena, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3100 Foothill Rd, Ventura, CA 93003 Phone: 805-641-4400 | |
Dr. Farooq Ali, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2779 Harbor Blvd, Ventura, CA 93001 Phone: 805-512-1774 |