| Mary Bathen Bissell, MD | |
|
85 Sierra Park Road, Mammoth Lakes, CA 93546 | |
| (760) 924-4012 | |
| Not Available |
| Full Name | Mary Bathen Bissell |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 85 Sierra Park Road, Mammoth Lakes, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821349622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A132363 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Bathen Bissell, MD Po Box 660, Mammoth Lakes, CA 93546 Ph: () - | Mary Bathen Bissell, MD 85 Sierra Park Road, Mammoth Lakes, CA 93546 Ph: (760) 924-4012 |
Grace Charmie Kim, MD, MPP Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd # A, Mammoth Lakes, CA 93546 Phone: 760-924-4000 | |
Dr. Richard Owen Johnson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Road, Suite A, Mammoth Lakes, CA 93546 Phone: 760-924-4000 Fax: 760-924-4091 | |
Dr. Kim Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4000 Fax: 760-924-4091 | |
Sarah Ruberman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-942-4000 | |
Dr. Kristin Elizabeth Collins, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 630-212-6605 |