| Mr Vernon Greg Phillips, MD | |
|
707 Palm Ave, Imperial Beach, CA 91932 | |
| (619) 429-7700 | |
| (619) 429-7703 |
| Full Name | Mr Vernon Greg Phillips |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 707 Palm Ave, Imperial Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427062918 | NPI | - | NPPES |
| 00G434090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G043409 (California) | Primary |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vernon Greg Phillips, MD 707 Palm Ave, Imperial Beach, CA 91932 Ph: (619) 429-7700 | Mr Vernon Greg Phillips, MD 707 Palm Ave, Imperial Beach, CA 91932 Ph: (619) 429-7700 |
Faith Pauline Chisum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-429-3823 | |
Danielle Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 5th St, Imperial Beach, CA 91932 Phone: 913-710-2420 | |
Parmela Sawhney, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 Fax: 619-424-3648 | |
Eric John Leute, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Avenue, Imperial Beach Health Center, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-628-5550 | |
Samantha Kasi Bodiford, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Mrs. Danielle Alexis Gordon, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-423-3774 |