Pammeli M Carlos, | |
18818 Outer Hwy 18, Apple Valley, CA 92307-2323 | |
(760) 956-2345 | |
Not Available |
Full Name | Pammeli M Carlos |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 18818 Outer Hwy 18, Apple Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649777624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 117141 (California) | Primary |
Entity Name | County Of San Bernardino |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Pammeli M Carlos, 1950 S Sunwest Ln, San Bernardino, CA 92408-3258 Ph: (909) 252-4010 | Pammeli M Carlos, 18818 Outer Hwy 18, Apple Valley, CA 92307-2323 Ph: (760) 956-2345 |
Mrs. Kathleen Patrice James, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-6336 | |
Ms. Alyse Brooke Yancy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13564 Delaware Rd, Apple Valley, CA 92308 Phone: 760-954-0277 | |
Lovejit Bahia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16778 Kasson Rd, Apple Valley, CA 92307 Phone: 559-779-0916 | |
Mr. Alejandro Ornelas, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-552-6700 Fax: 760-946-5040 | |
Rose Kathleen Andrade, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-246-6336 Fax: 760-946-0819 | |
Tessa Lynn Hodge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-552-6700 | |
Cheryl Joy Babb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18409 Hwy 18, #2, Apple Valley, CA 92307 Phone: 760-475-9960 Fax: 760-292-2007 |