| Paul Victor Polishuk, MD | |
|
225 East Second Avenue, Escondido, CA 92025 | |
| (760) 291-6606 | |
| (760) 291-6784 |
| Full Name | Paul Victor Polishuk |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 32 Years |
| Location | 225 East Second Avenue, Escondido, California |
| 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 |
|---|---|---|---|
| 1487648754 | NPI | - | NPPES |
| 00G843090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | G84309 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mammoth Hospital | Mammoth lakes, CA | Hospital |
| Northern Inyo Hospital | Bishop, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graybill Medical Group Inc | 9335050517 | 101 |
| Southern Mono Health Care District | 9830002401 | 82 |
| 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 | Graybill Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891729745 PECOS PAC ID: 9335050517 Enrollment ID: O20040108000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Victor Polishuk, MD 225 East Second Avenue, Escondido, CA 92025-4941 Ph: (760) 291-6700 | Paul Victor Polishuk, MD 225 East Second Avenue, Escondido, CA 92025 Ph: (760) 291-6606 |
Dr. Philip C Bosch, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 651 E Pennsylvania Ave, Ste 201, Escondido, CA 92025 Phone: 760-743-3135 Fax: 760-743-7424 | |
Julian N. Anthony, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1955 Citracado Pkwy Ste 200, Escondido, CA 92029 Phone: 760-743-4789 Fax: 858-673-5187 | |
Dr. Thomas Allyn Jones, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 215 S Hickory St, Suite 114, Escondido, CA 92025 Phone: 760-743-5111 Fax: 858-429-7934 | |
Dr. Snaford Behrens, MD Urology Medicare: Medicare Enrolled Practice Location: 255 N Elm St, Escondido, CA 92025 Phone: 858-245-3368 |