| Dr Jonathan Bourne, MD | |
|
85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | |
| (760) 924-4078 | |
| (760) 924-4058 |
| Full Name | Dr Jonathan Bourne |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 85 Sierra Park Rd, Mammoth Lakes, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013062660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G48548 (California) | Primary |
| Entity Name | Southern Mono Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Bourne, MD Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 924-4078 | Dr Jonathan Bourne, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 924-4078 |
Dr. Eric Bourne, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311 | |
Dr. Carolyn Marie Saba, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311 | |
Kurt S Smith, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd., Mammoth Lakes, CA 93546 Phone: 760-934-3311 | |
Larry Silver, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 437 Old Mammoth Rd Ste 162, Mammoth Lakes, CA 93546 Phone: 530-263-8226 |