| Dr Walter Richard Bush Jr, MD | |
|
5925 San Vicente Blvd, Los Angeles, CA 90019-6630 | |
| (323) 932-5105 | |
| (323) 932-5356 |
| Full Name | Dr Walter Richard Bush Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 5925 San Vicente Blvd, Los Angeles, 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 |
|---|---|---|---|
| 1437191566 | NPI | - | NPPES |
| 00G779570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G77957 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital Of Huntington Park | Huntington park, CA | Hospital |
| Maui Memorial Medical Center | Wailuku, HI | Hospital |
| Coast Plaza Hospital | Norwalk, CA | Hospital |
| Kula Hospital | Kula, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maui Memorial Emergency Medical Associates Inc | 7618224981 | 24 |
| Huntington Park Emergency Physicians Inc | 9638305204 | 12 |
| Entity Name | Maui Memorial Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326531773 PECOS PAC ID: 7618224981 Enrollment ID: O20180717003735 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter Richard Bush Jr, MD Po Box 661748, Arcadia, CA 91066-1748 Ph: (626) 447-0296 | Dr Walter Richard Bush Jr, MD 5925 San Vicente Blvd, Los Angeles, CA 90019-6630 Ph: (323) 932-5105 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Sean Emerson Treacy, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 757 Westwood Plz Ste 1517, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585 |