| Lucienne Simone Bouvier, MD | |
|
85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | |
| (760) 934-3311 | |
| Not Available |
| Full Name | Lucienne Simone Bouvier |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 33 Years |
| Location | 85 Sierra Park Rd, Mammoth Lakes, 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 |
|---|---|---|---|
| 1578641601 | NPI | - | NPPES |
| 00G790500 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G79050 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mammoth Hospital | Mammoth lakes, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Mono Health Care District | 9830002401 | 82 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Southern Mono Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
| Entity Name | Marshall Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962506097 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Ridgecrest Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucienne Simone Bouvier, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 Ph: (760) 932-3311 | Lucienne Simone Bouvier, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 Ph: (760) 934-3311 |
Dr. Richard Edward Hamilton Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1582 Forest Trail, Mammoth Lakes, CA 93546 Phone: 760-914-0693 Fax: 760-934-3215 | |
Dr. Audrey Pauly, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4044 Fax: 760-924-4125 |