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Dr. Jamie Marie Bigelow, MD

Accepting New Patients

(6 Ratings)

Specializes in: Adult Pulmonology, Undersea and Hyperbaric Medicine, Sleep Medicine and Adult Critical Care

University of Miami, Miller School of Medicine

Professional interests include: postpartum issues, eye problems, obstructive lung disease, and more.

2107 O'farrell Street Jamie Marie Bigelow Md
San Francisco, CA 94115

(415) 345-1246

Dr. Jamie Marie Bigelow, MD is a pulmonologist in San Francisco, CA specializing in adult pulmonology, undersea and hyperbaric medicine, sleep medicine and adult critical care. She graduated from University of Miami, Miller School of Medicine. Dr. Jamie Marie Bigelow, MD is affiliated with Astrana Health, Sutter Health, All American Medical Group, Hill Physicians, Allied Pacific IPAMG, JAMIE MARIE BIGELOW MD and All American Medical Group.

Office Locations

Hill Physicians

2107 O'farrell Street Jamie Marie Bigelow Md
San Francisco, CA 94115

(415) 673-7515

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815 Hyde Street
San Francisco, CA 94109

(415) 673-7515

(415) 563-6259

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Some issues Dr. Jamie Marie Bigelow, MD can help you with:

Asthma

Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.

Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:

Allergens (dust mites, pet fur, mold, pollen, grass)
Irritants (smoke, pollution, dust, chemicals)
Viral infections
Physical activity, especially outdoors
Certain medications or chemicals in foods (aspirin, sulfites)

Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.

There is no cure for asthma, but with treatment it should not interfere with daily life and activities.

Bronchoscopy

Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.

In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:

Brush biopsy, which uses a brush to collect samples.
Endobronchial biopsy, which uses the bronchoscope to guide forceps to sample lung tissue.
Transbronchial biopsy, which uses forceps and image guidance - such as X-rays, CT scans, or fluoroscopy - to sample lung tissue.
Transbronchial fine needle aspiration (TBNA), which uses a small needle to take samples of the lymph nodes or lungs.

For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).

Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.

During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.

Lung Issues

Every cell in the body requires oxygen to function and produces carbon dioxide as a waste product. In order to keep the body's tissues constantly supplied with fresh oxygen and to keep waste from building up, the lungs pump air in and out, even while sleeping or unaware. Unfortunately, diseases and disorders affecting the lungs are some of the most common medical problems afflicting people around the world. Some of the most common lung problems include asthma, COPD, pneumonia, and lung cancer.

Asthma is a chronic disease where swollen, inflamed airways make it hard to breathe. It is often brought on by specific triggers. While asthma is a common condition, affecting millions of people, it can also be serious and even fatal in severe cases. Treatment involves avoiding triggers and using inhaled corticosteroid medications.

COPD, or Chronic Obstructive Pulmonary Disease, is the name given to two illnesses that both cause difficulty breathing: emphysema and chronic bronchitis. In emphysema, the air sacs of the lungs become damaged, while with bronchitis they become clogged with mucus. COPD is the fourth leading cause of death in the United States. It is almost always caused by breathing irritants into the lungs, such as smoking or heavy pollution.

Pneumonia is a lung infection that can be caused by bacteria, a virus, or fungi. Most healthy people recover from pneumonia in a week or two, but for some people pneumonia can be fatal. There are treatments available for pneumonia, but the best treatment is to prevent getting sick in the first place. People who are at risk should make sure they get a flu shot every year. There is also a vaccine available for the type of bacteria that causes pneumonia.

Lung cancer occurs when abnormal cells inside the lung grow into a tumor, destroying healthy tissue. Because it is so difficult to detect lung cancer in early stages when it has few symptoms, it is the deadliest form of cancer, responsible for the most cancer deaths both in the U.S. and worldwide. Most lung cancer is caused by exposure to tobacco smoke, but between 10-15% of cases are not linked to smoking.

Some problems with the lungs are minor and are not cause for concern. However if symptoms have lasted for a month or more, even if they are minor, it is worth checking with a healthcare professional. A cough, shortness of breath, or excess mucus production that lingers for weeks are all worth getting looked at.

Noteworthy Medicare Patient Procedures Performed by Dr. Jamie Marie Bigelow, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

hyperbaric oxygen therapy

In 2023, Dr. Jamie Marie Bigelow, MD performed more hyperbaric oxygen (HBO) therapy procedures for Medicare patients than 95% of providers in related specialties within California.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2012 were hospital care, inpatient care and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	128
hospital care	450
hyperbaric oxygen (HBO) therapy	218
inpatient care	450

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2013 were hospital care, inpatient care and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	141
hospital care	509
hyperbaric oxygen (HBO) therapy	117
inpatient care	509

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	115
Female	83

**Ethnicity**
Non-Hispanic White	125
Black	22
Hispanic	0
Asian	38
Other	0
Native American	0

**Age**
From 65 to 74	59
From 75 to 84	46
85 and over	47
Less than 65	46

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2013

Hypertension	74
High Cholesterol	48
Stroke	11
Ischemic Heart Disease	42
Depression	30
Chronic Kidney Disease	47
Asthma	23
Osteoperosis	10
Atrial Fibrilation	22
Heart Failure	43
Chronic Obstructive Pulmonary Disease	40
Diabetes	32
Dementia	21
Cancer	19

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2014 were hospital care, inpatient care and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	88
hospital care	370
hyperbaric oxygen (HBO) therapy	97
inpatient care	370

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	84
Female	63

**Ethnicity**
Non-Hispanic White	86
Black	0
Hispanic	0
Asian	32
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	34
85 and over	30
Less than 65	31

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2014

Hypertension	75
High Cholesterol	44
Stroke	12
Ischemic Heart Disease	52
Depression	27
Chronic Kidney Disease	52
Asthma	24
Osteoperosis	10
Atrial Fibrilation	24
Heart Failure	48
Chronic Obstructive Pulmonary Disease	35
Diabetes	35
Dementia	27
Cancer	18

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2015 were hospital care, inpatient care and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	136
hospital care	429
hyperbaric oxygen (HBO) therapy	85
inpatient care	429

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	212
Female	148

**Ethnicity**
Non-Hispanic White	196
Black	44
Hispanic	0
Asian	78
Other	0
Native American	0

**Age**
From 65 to 74	140
From 75 to 84	74
85 and over	74
Less than 65	72

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2015

Hypertension	71
High Cholesterol	47
Stroke	15
Ischemic Heart Disease	38
Depression	26
Chronic Kidney Disease	43
Asthma	34
Osteoperosis	13
Atrial Fibrilation	17
Heart Failure	38
Chronic Obstructive Pulmonary Disease	41
Diabetes	32
Dementia	18
Cancer	17

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	132
hospital care	207
inpatient care	207

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	71
Female	76

**Ethnicity**
Non-Hispanic White	102
Black	0
Hispanic	0
Asian	23
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	49
85 and over	24
Less than 65	19

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2016

Hypertension	71
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	40
Depression	33
Chronic Kidney Disease	51
Asthma	48
Osteoperosis	16
Atrial Fibrilation	24
Heart Failure	43
Chronic Obstructive Pulmonary Disease	45
Diabetes	30
Dementia	22
Cancer	16

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2017 were hospital care, inpatient care and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	86
hospital care	227
hyperbaric oxygen (HBO) therapy	85
inpatient care	227

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	71
Female	65

**Ethnicity**
Non-Hispanic White	81
Black	13
Hispanic	0
Asian	26
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	43
85 and over	22
Less than 65	19

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2017

Hypertension	75
High Cholesterol	51
Stroke	10
Ischemic Heart Disease	48
Depression	33
Chronic Kidney Disease	63
Asthma	26
Osteoperosis	10
Atrial Fibrilation	23
Heart Failure	48
Chronic Obstructive Pulmonary Disease	46
Diabetes	41
Dementia	22
Cancer	21

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	131
hospital care	121
inpatient care	121

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	68
Female	61

**Ethnicity**
Non-Hispanic White	81
Black	0
Hispanic	0
Asian	20
Other	0
Native American	0

**Age**
From 65 to 74	61
From 75 to 84	36
85 and over	19
Less than 65	13

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2018

Hypertension	75
High Cholesterol	68
Stroke	9
Ischemic Heart Disease	44
Depression	26
Chronic Kidney Disease	50
Asthma	23
Osteoperosis	12
Atrial Fibrilation	22
Heart Failure	36
Chronic Obstructive Pulmonary Disease	36
Diabetes	37
Dementia	20
Cancer	17

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	134
hospital care	33
inpatient care	33

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	52
Female	52

**Ethnicity**
Non-Hispanic White	78
Black	0
Hispanic	0
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	38
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2019

Hypertension	72
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	49
Depression	28
Chronic Kidney Disease	46
Asthma	13
Osteoperosis	0
Atrial Fibrilation	21
Heart Failure	31
Chronic Obstructive Pulmonary Disease	27
Diabetes	38
Dementia	23
Cancer	22

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2020 were hyperbaric oxygen (HBO) therapy, hospital care and inpatient care.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	127
hospital care	43
hyperbaric oxygen (HBO) therapy	311
inpatient care	43

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	45
Female	44

**Ethnicity**
Non-Hispanic White	63
Black	0
Hispanic	0
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	30
From 75 to 84	37
85 and over	11
Less than 65	11

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2020

Hypertension	62
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	44
Depression	31
Chronic Kidney Disease	37
Asthma	17
Osteoperosis	0
Atrial Fibrilation	17
Heart Failure	29
Chronic Obstructive Pulmonary Disease	30
Diabetes	36
Dementia	17
Cancer	19

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA during 2021 were hyperbaric oxygen (HBO) therapy, hospital care and inpatient care.

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	112
hospital care	40
hyperbaric oxygen (HBO) therapy	233
inpatient care	40

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	61
Female	43

**Ethnicity**
Non-Hispanic White	71
Black	0
Hispanic	0
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	28
85 and over	16
Less than 65	14

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2021

Hypertension	67
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	40
Depression	28
Chronic Kidney Disease	40
Asthma	24
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	31
Chronic Obstructive Pulmonary Disease	34
Diabetes	33
Dementia	18
Cancer	25

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

doctor visit	186

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	45
Female	48

**Ethnicity**
Non-Hispanic White	60
Black	0
Hispanic	0
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	41
From 75 to 84	28
85 and over	12
Less than 65	12

Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD in 2022

Hypertension	62
High Cholesterol	69
Stroke	0
Ischemic Heart Disease	16
Depression	23
Chronic Kidney Disease	18
Asthma	31
Osteoperosis	18
Atrial Fibrilation	15
Heart Failure	13
Chronic Obstructive Pulmonary Disease	24
Diabetes	31
Dementia	0
Cancer	23

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Jamie Marie Bigelow, MD for Medicare patients.

The highest averages for the top procedures that Dr. Jamie Marie Bigelow, MD treated as a pulmonologist in San Francisco, CA were hospital care and inpatient care.

doctor visit	127
hospital care	242
inpatient care	242

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Jamie Marie Bigelow, MD.

**Gender**
Male	74
Female	62

**Ethnicity**
Black / African American	7
Asian / Pacific Islander	24
Non-Hispanic White	85
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	37
85 and over	23
Less than 65	21
65 to 74	52

Average of Total of Conditions of Medicare patients treated by Dr. Jamie Marie Bigelow, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Jamie Marie Bigelow, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	64
High Cholesterol	51
Stroke	5
Ischemic Heart Disease	37
Depression	25
Chronic Kidney Disease	40
Asthma	23
Osteoporosis	8
Heart Failure	32
Chronic Obstructive Pulmonary Disease	32
Diabetes	31
Atrial Fibrillation	18
Cancer	17
Dementia	17

Education & Training

Dr. Jamie Marie Bigelow, MD graduated from University of Miami, Miller School of Medicine. She completed residency at Beth Israel Deaconess Medical Center. She is certified by the Board Certification: Sleep Medicine and has a state license in California.

Medical School: University of Miami, Miller School of Medicine

Residency: Beth Israel Deaconess Medical Center

Board Certification: Board Certification: Sleep Medicine

Licensed In: California

Affiliations & Hospitals

Dr. Jamie Marie Bigelow, MD is associated with these hospitals and organizations:

Astrana Health

Sutter Health

All American Medical Group

Hill Physicians

Allied Pacific IPAMG

JAMIE MARIE BIGELOW MD

All American Medical Group

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Jamie Marie Bigelow, MD appears to accept the following insurance providers: Cigna, Aetna, Blue Shield of California, Anthem, UnitedHealthcare, Health Net, San Francisco Health Plan, Central Health Plan, CCHP Health Plan (Chinese Community Health Plan) and Canopy Health.

Insurance Accepted by Provider includes:

According to our sources, Dr. Jamie Marie Bigelow, MD accepts the following insurance providers:

Cigna

Aetna

Blue Shield of California

Anthem

UnitedHealthcare

Health Net

San Francisco Health Plan

Central Health Plan

CCHP Health Plan (Chinese Community Health Plan)

Canopy Health

Ratings & Reviews

Dr. Jamie Marie Bigelow, MD has an average of 1.5 out of 5 stars based on 6 ratings. We collect ratings and reviews of Dr. Jamie Marie Bigelow, MD from all over the web to help you find the right in San Francisco, CA.

1.5

Overall Rating

(6 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Jamie Marie Bigelow, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Spiration, Inc.	$300 Respiratory Products $300
Genentech USA, Inc.	$131 Esbriet $131
Boehringer Ingelheim Pharmaceuticals, Inc.	$71 OFEV $55	STIOLTO $16
EKOS Corporation	$21 EKOSONIC $21
E.R. Squibb & Sons, L.L.C.	$20 ELIQUIS $20

**Types of Payments**
Consulting Fee	$300
Food and Beverage	$129
Education	$114

Biography

Dr. Jamie Bigelow is a specialist in adult critical care, undersea and hyperbaric medicine, and sleep medicine in San Francisco, CA. Areas of expertise for Dr. Bigelow include cancer screening, swollen lymph nodes (lymphadenopathy), and shortness of breath (dyspnea). Her average rating from her patients is 1.5 stars (out of 5). She appears to be an in-network provider for Blue Shield, Health Net, Anthem, and more. She attended the University of Miami, Miller School of Medicine and subsequently trained at Beth Israel Deaconess Medical Center for residency. Dr. Bigelow's professional affiliations include Astrana Health, Brown and Toland Physicians, and All American Medical Group. According to Hill Physicians, she is currently accepting new patients at her office in San Francisco, CA.