| Elias Ignacio Banuelos, MD | |
|
911 Washington St, Calistoga, CA 94515-1433 | |
| (707) 709-2308 | |
| Not Available |
| Full Name | Elias Ignacio Banuelos |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 911 Washington St, Calistoga, 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 |
|---|---|---|---|
| 1366427064 | NPI | - | NPPES |
| 00A726910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME97139 (Florida) | Secondary |
| 207Q00000X | Family Medicine | A72691 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Physicians Network | 3274580972 | 572 |
| Entity Name | Ole Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700976503 PECOS PAC ID: 7315934767 Enrollment ID: O20040427001735 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Elias Ignacio Banuelos, MD 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 Ph: (707) 254-1770 | Elias Ignacio Banuelos, MD 911 Washington St, Calistoga, CA 94515-1433 Ph: (707) 709-2308 |
Gabriela Bermudez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 911 Washington St, Calistoga, CA 94515 Phone: 707-254-1770 Fax: 707-251-1779 | |
Jeanette Michelle Williams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 807a Washington St, Calistoga, CA 94515 Phone: 707-942-1100 Fax: 707-341-3150 | |
Dr. Andrew G Alexander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 913 Washington St, Calistoga, CA 94515 Phone: 707-942-6233 Fax: 707-942-6382 |