| Lisa Carrie Butler, | |
|
790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 | |
| (909) 447-8585 | |
| (909) 447-8593 |
| Full Name | Lisa Carrie Butler |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 790 East Bonita Ave, Pomona, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003885302 | NPI | - | NPPES |
| 00G774000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G77400 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Mercy Hospital | San diego, CA | Hospital |
| Scripps Green Hospital | La jolla, CA | Hospital |
| Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Internal Medicine Associates Medical Group Of San Diego, Inc. | 0143113282 | 6 |
| Entity Name | Chaparral Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477733624 PECOS PAC ID: 6800709403 Enrollment ID: O20031110000605 |
| Entity Name | Internal Medicine Associates Medical Group Of San Diego, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528152105 PECOS PAC ID: 0143113282 Enrollment ID: O20040203001142 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Carrie Butler, 840 Towne Center Dr, Chaparral Medical Group, Pomona, CA 91767-5900 Ph: (909) 398-1550 | Lisa Carrie Butler, 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 Ph: (909) 447-8585 |
Kenneth Spiers Brown, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1866 N Orange Grove Ave, Ste 102, Pomona, CA 91767 Phone: 909-620-4373 Fax: 909-620-7179 | |
Dr. Kerry Norman Gott, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 255 E Bonita Ave, Pomona, CA 91767 Phone: 909-596-7733 Fax: 909-450-0357 | |
Dr. Monica A Wong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 S Park Ave, Pomona, CA 91766 Phone: 909-868-0235 Fax: 909-623-0571 | |
Ossama Maloule, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 E Bonita Ave Bldg 1b, Pomona, CA 91767 Phone: 909-275-7470 Fax: 909-971-4532 | |
Rita Patrick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-630-7158 | |
Nadir Ali Eltahir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1940 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-865-6900 Fax: 909-865-6300 |