Benjamin Korsmo, | |
521 Georgia St, Vallejo, CA 94590-6006 | |
(707) 534-6063 | |
Not Available |
Full Name | Benjamin Korsmo |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 521 Georgia St, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972987881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Community Hospital Of The Monterey Peninsula |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225285810 PECOS PAC ID: 7214839125 Enrollment ID: O20040217001081 |
Mailing Address | Practice Location Address |
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Benjamin Korsmo, 521 Georgia St, Vallejo, CA 94590-6006 Ph: () - | Benjamin Korsmo, 521 Georgia St, Vallejo, CA 94590-6006 Ph: (707) 534-6063 |
Leata Jeames, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Tuolumne St, Vallejo, CA 94589 Phone: 707-558-1777 Fax: 707-558-1770 | |
Ned L Jacobs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Tiffany Marie Tyler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Tuolumne St, Vallejo, CA 94590 Phone: 707-648-8121 Fax: 707-648-8129 | |
Michelle Reneta Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Ohio St, Vallejo, CA 94590 Phone: 415-707-2577 Fax: 707-644-5501 | |
Mr. Bjay Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Georgia Street, Vallejo, CA 94590 Phone: 510-229-2786 | |
Mrs. Tracy Jean Royer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Annette Thomas Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1131 Cunningham St, Vallejo, CA 94590 Phone: 415-492-0818 Fax: 415-492-0834 |