| Mr Ricardo Brownlee Eusebio, MD | |
|
633 Gov Carlos Camacho Road, Ste 202, Tamuning, GU 86913-3143 | |
| (671) 646-0443 | |
| (671) 646-0440 |
| Full Name | Mr Ricardo Brownlee Eusebio |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 48 Years |
| Location | 633 Gov Carlos Camacho Road, Tamuning, Guam |
| 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 |
|---|---|---|---|
| 1679795603 | NPI | - | NPPES |
| 10M1017A | Other | GU | CONTROLLED SUBSTANCE DEPT |
| M001017 | Other | GU | MEDICAL LICENSE GUAM BOAR |
| 217 | Medicaid | GU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | M-1017 (Guam) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | M-1017 (Guam) | Secondary |
| 208600000X | Surgery | M-1017 (Guam) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guam Memorial Hospital Authority | Tamuning, GU | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Surgical Center Pc | 3870860513 | 3 |
| Guam Healthcare Development Incorporated | 9234351776 | 174 |
| Entity Name | Guam Healthcare Development Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
| Entity Name | Island Surgical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972033538 PECOS PAC ID: 3870860513 Enrollment ID: O20170530001920 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ricardo Brownlee Eusebio, MD 633 Gov Carlos Camacho Road, Ste 202, Tamuning, GU 86913-3143 Ph: (671) 646-0443 | Mr Ricardo Brownlee Eusebio, MD 633 Gov Carlos Camacho Road, Ste 202, Tamuning, GU 86913-3143 Ph: (671) 646-0443 |
Ronald T Kobayashi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 590 South Marine Corps Drive, Gitc Biulding Ste 211, Tamuning, GU 96913 Phone: 671-649-7588 Fax: 671-646-1088 | |
Dr. Michael W Cruz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Farenholt Ave, Tamuning, GU 96913 Phone: 671-646-0443 Fax: 671-646-0440 | |
Jerone Theodore Landstrom, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 633 Gov Carlos Camacho Road, Suite 104 Guam Medical Plaza, Tamuning, GU 96913 Phone: 671-646-4263 Fax: 671-649-1019 | |
Dr. Christian Ada Eusebio, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Farenholt Ave, Tamuning, GU 96913 Phone: 671-646-0441 | |
Dr. John A Fegurgur, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 Pale San Vitores Rd, Tamuning, GU 96913 Phone: 671-647-4542 Fax: 671-647-4558 | |
Dr. Kia M Rahmani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 Pale San Vitores Rd, Tamuning, GU 96913 Phone: 671-647-4542 Fax: 671-647-4558 |