| Dr Phillip Bradley Plotz, MD | |
|
699 W Tefft St, Suite A, Nipomo, CA 93444-9289 | |
| (805) 930-9995 | |
| (805) 929-5771 |
| Full Name | Dr Phillip Bradley Plotz |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 699 W Tefft St, Nipomo, 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 |
|---|---|---|---|
| 1992753842 | NPI | - | NPPES |
| 1174556286 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 202213900 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | A063826 (California) | Primary |
| 207Q00000X | Family Medicine | 049327 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Health Center | Farmington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkland Health Center | 1951219237 | 32 |
| Entity Name | Parkland Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922016112 PECOS PAC ID: 1951219237 Enrollment ID: O20050224000840 |
| Entity Name | Ssm Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396886065 PECOS PAC ID: 8921917352 Enrollment ID: O20070316000022 |
| Entity Name | Archwell Health Professional Services Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083289086 PECOS PAC ID: 4688072358 Enrollment ID: O20220411001999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Bradley Plotz, MD 3400 Data Dr 1st, Rancho Cordova, CA 95670-7956 Ph: (916) 379-2726 | Dr Phillip Bradley Plotz, MD 699 W Tefft St, Suite A, Nipomo, CA 93444-9289 Ph: (805) 930-9995 |
Dr. Nancy Ellen Kitson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1560 Mesa Rd Ste 100, Nipomo, CA 93444 Phone: 805-614-5640 Fax: 805-614-5641 | |
Emilia Ambrosio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6440 | |
Natalia V Schwartz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6359 | |
Alexander M Austria, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6440 | |
Denise E Taylor, Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-938-0935 | |
Vartan Tachdjian, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6440 | |
Jordan Mark Reader, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 697 W Tefft St, Nipomo, CA 93444 Phone: 805-929-2272 Fax: 805-929-1454 |