Bhcmg Executive Er - Medicare Primary Care in Beverly Hills, CA

Bhcmg Executive Er is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Beverly Hills, California. The current practice location for Bhcmg Executive Er is 8530 Wilshire Blvd, Suite 250, Beverly Hills, California. For appointments, you can reach them via phone at (310) 657-0366. The mailing address for Bhcmg Executive Er is 8530 Wilshire Blvd, Suite 250, Beverly Hills, California and phone number is (310) 657-0366.

Bhcmg Executive Er is licensed to practice in California (license number A85541). The clinic also participates in the medicare program and its NPI number is 1053642009. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (310) 657-0366.

Contact Information

Bhcmg Executive Er
8530 Wilshire Blvd
Suite 250
Beverly Hills
CA 90211-3122
(310) 657-0366
(310) 657-0466

Primary Care Clinic Profile

Full NameBhcmg Executive Er
SpecialityClinic/Center
Location8530 Wilshire Blvd, Beverly Hills, California
Authorized Official Name and PositionDaniel Jacobsen (PRESIDENT)
Authorized Official Contact3106570366
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bhcmg Executive Er
8530 Wilshire Blvd
Suite 250
Beverly Hills
CA 90211-3122

Ph: (310) 657-0366
Bhcmg Executive Er
8530 Wilshire Blvd
Suite 250
Beverly Hills
CA 90211-3122

Ph: (310) 657-0366

NPI Details:

NPI Number1053642009
Provider Enumeration Date01/14/2010
Last Update Date01/14/2010

Medicare PECOS Information:

Medicare PECOS PAC ID9638207905
Medicare Enrollment IDO20100506000381

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Medical Identifiers

Medical identifiers for Bhcmg Executive Er such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053642009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty A85541 (California)Primary
261QM1300XClinic/center - Multi-specialty DC15646 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bhcmg Executive Er acts as a billing entity for following providers:
Provider NameDaniel F Jacobsen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1629178199
PECOS PAC ID: 6204899966
Enrollment ID: I20050330000769

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Provider NameLeif E Lunsford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740236967
PECOS PAC ID: 5890791842
Enrollment ID: I20061013000388

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Provider NameDarren M Boyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992960462
PECOS PAC ID: 8224355086
Enrollment ID: I20150317000002

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› Verified 2 days ago

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