| Dr Heidrun Gollogly, MD | |
|
5565 Grossmont Center Dr Ste 3, La Mesa, CA 91942 | |
| (619) 463-0331 | |
| (619) 463-0138 |
| Full Name | Dr Heidrun Gollogly |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 15 Years |
| Location | 5565 Grossmont Center Dr Ste 3, La Mesa, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477879823 | NPI | - | NPPES |
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 105611 (Minnesota) | Secondary |
| 207W00000X | Ophthalmology | 54428 (Minnesota) | Secondary |
| 207W00000X | Ophthalmology | 134761 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Mercy Hospital | San diego, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| On Call Specialists Medical Group Of San Diego Inc | 7911395231 | 137 |
| Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Retina Institute Of California Medical Group, A California Medical Par |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760541569 PECOS PAC ID: 4587760749 Enrollment ID: O20070503000626 |
| Entity Name | Ridge Eye Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699078030 PECOS PAC ID: 3375724511 Enrollment ID: O20110224000680 |
| Entity Name | Trilogy Eye Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114205432 PECOS PAC ID: 6406021658 Enrollment ID: O20111216000199 |
| Entity Name | On Call Specialists Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962175836 PECOS PAC ID: 7911395231 Enrollment ID: O20211019001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heidrun Gollogly, MD 100 E California Blvd, Pasedena, CA 91105 Ph: (626) 269-5317 | Dr Heidrun Gollogly, MD 5565 Grossmont Center Dr Ste 3, La Mesa, CA 91942 Ph: (619) 463-0331 |
Glenn Cook, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 7877 Parkway Dr, Suite 100, La Mesa, CA 91942 Phone: 619-460-3711 Fax: 619-460-2184 | |
Dr. James Tidwell, MD, MPH Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9480 El Tejado Rd, La Mesa, CA 91941 Phone: 619-696-9800 | |
Dr. Christopher B Stephenson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7862 El Cajon Blvd, La Mesa, CA 91941 Phone: 619-644-6405 Fax: 619-644-6495 | |
Mr. David J Najafi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8262 University Ave, La Mesa, CA 91942 Phone: 619-668-0045 Fax: 619-668-0074 | |
Paul Leslie Treger, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7877 Parkway Dr, Suite 100, La Mesa, CA 91942 Phone: 619-460-9077 Fax: 619-460-2184 | |
Dr. Sally Lee, MD, DO Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5965 Severin Dr., La Mesa, CA 91942 Phone: 619-583-4295 Fax: 619-825-7300 |