| Dr Eloise Skelton, MD | |
|
500 S 7th Ave Ste D, Barstow, CA 92311-3057 | |
| (760) 256-1777 | |
| (760) 256-7766 |
| Full Name | Dr Eloise Skelton |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 500 S 7th Ave Ste D, Barstow, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285774661 | NPI | - | NPPES |
| 3601937 | Other | IL | STATE OF ILLINOIS |
| 0G380251 | Medicaid | CA | |
| 39442 | Other | IA | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G38025 (California) | Primary |
| 207V00000X | Obstetrics & Gynecology | 64166758017 (Utah) | Secondary |
| Entity Name | Borrego Community Health Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
| Entity Name | Barstow Primary Care Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871904656 PECOS PAC ID: 7719105774 Enrollment ID: O20140904001517 |
| Entity Name | Vvipa Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295126001 PECOS PAC ID: 5092185546 Enrollment ID: O20221228001648 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eloise Skelton, MD 500 S 7th Ave Ste D, Barstow, CA 92311-3057 Ph: (760) 256-1777 | Dr Eloise Skelton, MD 500 S 7th Ave Ste D, Barstow, CA 92311-3057 Ph: (760) 256-1777 |
Mr. Lu-wei King, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 801 E Mountain View St Ste C, Barstow, CA 92311 Phone: 760-256-6680 Fax: 760-256-6684 |