Ms Ingrid H Weibust, LICSW | |
Building 130193t A Street, Box 55020, Camp Pendleton, CA 92055-5020 | |
(760) 725-8301 | |
Not Available |
Full Name | Ms Ingrid H Weibust |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | Building 130193t A Street, Camp Pendleton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134272073 | NPI | - | NPPES |
1312294 | Medicaid | MA |
Entity Name | One Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467781641 PECOS PAC ID: 2567623739 Enrollment ID: O20120416000113 |
Mailing Address | Practice Location Address |
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Ms Ingrid H Weibust, LICSW 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: () - | Ms Ingrid H Weibust, LICSW Building 130193t A Street, Box 55020, Camp Pendleton, CA 92055-5020 Ph: (760) 725-8301 |
Mr. Gregory George Barisich, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bldg H-100 Santa Margarita Road, Naval Hospital, Camp Pendleton (n68094), Camp Pendleton, CA 92055 Phone: 760-725-0025 | |
Valery Krupnik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-3312 | |
Mary Broccoli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Camp Pendleton, Attention: Code 094, Camp Pendleton, CA 92055 Phone: 760-725-1555 Fax: 760-725-1350 | |
Susan Marie Gallardo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2016 San Jacinto Road, Camp Pendleton, CA 92055 Phone: 760-719-4203 | |
Leslie Y Vazquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, H200, Camp Pendleton, CA 92055 Phone: 760-719-3200 | |
Mr. Steven Wayne Cappiello, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Camp Pendleton Santa Margarita Road, Bldg H100 Code Cs-pa, Camp Pendleton, CA 92055 Phone: 760-725-1318 |