| Dr Jerry C Bobo, MD | |
|
474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | |
| (760) 432-9884 | |
| (760) 432-9953 |
| Full Name | Dr Jerry C Bobo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 49 Years |
| Location | 474 W Vermont Ave Ste 104, Escondido, 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 |
|---|---|---|---|
| 1194836429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G084025 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kab Medical Group Inc | 7719211358 | 14 |
| Entity Name | Kab Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639634421 PECOS PAC ID: 7719211358 Enrollment ID: O20190702000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry C Bobo, MD 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 Ph: (760) 432-9884 | Dr Jerry C Bobo, MD 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 Ph: (760) 432-9884 |
Gabriel Rodarte, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 425 N Date St, #203, Escondido, CA 92025 Phone: 760-520-8340 Fax: 760-839-9459 | |
Dr. Kenneth A. Khoury, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 125 S Grape St, Escondido, CA 92025 Phone: 760-743-1205 | |
Mr. Christopher Paul Gorman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 221 W Crest Ave, #102, Escondido, CA 92025 Phone: 760-489-4930 Fax: 760-489-4933 | |
William Samuel, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 661 E Pennsylvania Ave, Escondido, CA 92025 Phone: 760-746-5813 | |
Dr. Andrew C Schiffman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 125 S Grape St, Escondido, CA 92025 Phone: 760-743-1205 Fax: 760-743-1040 | |
Dr. David Milton Oliver, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Palomar Medical Center, 2185 Citracado Parkway, Escondido, CA 92029 Phone: 760-739-3012 |