Jane Polkinghorne, ASW | |
3434 Grove St, Lemon Grove, CA 91945-1812 | |
(619) 281-3706 | |
Not Available |
Full Name | Jane Polkinghorne |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3434 Grove St, Lemon Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407130479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | ASW59518 (California) | Primary |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Mailing Address | Practice Location Address |
---|---|
Jane Polkinghorne, ASW 3434 Grove St, Lemon Grove, CA 91945-1812 Ph: (619) 281-3706 | Jane Polkinghorne, ASW 3434 Grove St, Lemon Grove, CA 91945-1812 Ph: (619) 281-3706 |
Steven Fremland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 | |
Caroline Jane Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 | |
Mrs. Teruyo Mukai Eskins, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-797-1090 Fax: 619-797-1091 | |
James Duque Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-889-4607 Fax: 619-797-1091 | |
Sandra Denise Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 Fax: 619-466-4672 | |
Eddy Fuentes Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-442-0277 | |
Cynthia Dawn Casarrubias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 Fax: 619-644-2503 |