Micaela Birt, MS | |
1 Quality Dr, Vacaville, CA 95688-9494 | |
(530) 219-1621 | |
Not Available |
Full Name | Micaela Birt |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1 Quality Dr, Vacaville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225488331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Micaela Birt, MS 1 Quality Dr Dept Of, Vacaville, CA 95688-9494 Ph: () - | Micaela Birt, MS 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (530) 219-1621 |
Mrs. Phyllis Ann Dimmick, MASTERS OF ART PSYCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Auburn Way, Vacaville, CA 95688 Phone: 707-447-4668 | |
Savitri D. Harris, RI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 Fax: 707-447-3205 | |
Ricardo Antonio Navarro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614 | |
Ms. Kristina Claudio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 | |
Ziyya Raeann Scruggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Alamo Dr Apt 187, Vacaville, CA 95687 Phone: 910-527-9625 | |
Robin Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614 | |
George W. Mares, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 Fax: 707-447-3205 |