| Isabel Benavides, MD | |
|
250 Prospect Pl, Coronado, CA 92118-1943 | |
| (480) 967-6500 | |
| (480) 967-6540 |
| Full Name | Isabel Benavides |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 250 Prospect Pl, Coronado, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235175894 | NPI | - | NPPES |
| 635948 | Medicaid | AZ | |
| 000G3864 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2002-0010 (New Mexico) | Primary |
| 207P00000X | Emergency Medicine | A68376 (California) | Secondary |
| Entity Name | Sierra Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871732933 PECOS PAC ID: 2860542479 Enrollment ID: O20090602000429 |
| Entity Name | Apex Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265711089 PECOS PAC ID: 4688844277 Enrollment ID: O20110909002790 |
| Entity Name | Seven Star Hospital Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
| Mailing Address | Practice Location Address |
|---|---|
| Isabel Benavides, MD 27068 La Paz Rd, Ste 299, Aliso Viejo, CA 92656-3041 Ph: (505) 870-3369 | Isabel Benavides, MD 250 Prospect Pl, Coronado, CA 92118-1943 Ph: (480) 967-6500 |
Roberto Medero Colon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 F Ave, Coronado, CA 92118 Phone: 787-399-0723 | |
Maria G Lopez, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
Dr. Adam Weissman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
William M Wansa, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
Peter Mann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
Jessica Morgan Bogle, FNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 Fax: 619-522-3790 |