| Dr Robert Cm Bourne, MD | |
|
1600 E Citrus Ave, Redlands, CA 92374-4270 | |
| (702) 579-3203 | |
| Not Available |
| Full Name | Dr Robert Cm Bourne |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1600 E Citrus Ave, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417985847 | NPI | - | NPPES |
| OOA315220 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A31522 (California) | Primary |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Cm Bourne, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Dr Robert Cm Bourne, MD 1600 E Citrus Ave, Redlands, CA 92374-4270 Ph: (702) 579-3203 |
Salma Mohammadi Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1467 Ford St Ste 201, Redlands, CA 92373 Phone: 909-206-2612 | |
Dr. Katrina Carter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 E Citrus Ave, Redlands, CA 92374 Phone: 909-794-3682 | |
Calvin G Hagglov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600 | |
Grace Marie Hecker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1910 Orange Tree Ln Ste 344, Redlands, CA 92374 Phone: 909-792-1388 Fax: 097-487-9259 | |
Dr. Veena Mysore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600 | |
Horst R Rudrich, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 Terracina Blvd, Ste. 105, Redlands, CA 92373 Phone: 909-793-0323 Fax: 909-793-9173 | |
Dr. Hieu Thuan Phan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 E Citrus Ave Ste A, Redlands, CA 92374 Phone: 909-794-3682 |