Emily Ann Vicioso, | |
299 12th St, Suite A, Marina, CA 93933-6003 | |
(831) 647-7652 | |
Not Available |
Full Name | Emily Ann Vicioso |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 299 12th St, Marina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841418753 | NPI | - | NPPES |
B7565610 | Other | CA | DRIVER'S LICENSE |
27BW8 | Other | CA | MEDI-CAL PRV NBR |
44CF | Other | CA | MEDI-CAL PRV NBR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | County Of Monterey |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467584805 PECOS PAC ID: 2466345632 Enrollment ID: O20040913001243 |
Mailing Address | Practice Location Address |
---|---|
Emily Ann Vicioso, 299 12th St, Suite A, Marina, CA 93933-6003 Ph: (831) 647-7652 | Emily Ann Vicioso, 299 12th St, Suite A, Marina, CA 93933-6003 Ph: (831) 647-7652 |
Sharon Ann Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 12th St Ste C, Marina, CA 93933 Phone: 831-883-3030 | |
Ricardo Navarro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 Bayonet Cir, Marina, CA 93933 Phone: 831-384-7251 | |
Shantel Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 12th St Ste B, Marina, CA 93933 Phone: 831-883-3030 | |
Philip Ye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 12th St, Marina, CA 93933 Phone: 831-784-2150 | |
Angel Velasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2982 Bayonet Ct, Marina, CA 93933 Phone: 831-883-5100 | |
Ms. Jennifer Elyse Hatch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Bayonet Cir, Marina, CA 93933 Phone: 831-647-3000 Fax: 831-647-3008 | |
Rogelio Ismael Santiago, Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 12th St Ste B, Marina, CA 93933 Phone: 831-883-3030 |