Michelle Jeanne Bernett, | |
425 Pine St Ste 2, Galt, CA 95632-2055 | |
(209) 745-3101 | |
(209) 745-7539 |
Full Name | Michelle Jeanne Bernett |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 425 Pine St Ste 2, Galt, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205025103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Tiffany Kettermann, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003461740 PECOS PAC ID: 0941685184 Enrollment ID: O20220923001810 |
Mailing Address | Practice Location Address |
---|---|
Michelle Jeanne Bernett, 425 Pine St Ste 2, Galt, CA 95632-2055 Ph: (209) 745-3101 | Michelle Jeanne Bernett, 425 Pine St Ste 2, Galt, CA 95632-2055 Ph: (209) 745-3101 |
Matthew Raymond Ulm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr, Galt, CA 95632 Phone: 209-744-9909 | |
Ms. Elaine Mary Davidson, LVN Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Dawn Cir, Galt, CA 95632 Phone: 209-745-9044 | |
Vanessa Nicole Brown, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr Ste F, Galt, CA 95632 Phone: 209-744-9909 Fax: 209-744-9910 | |
Jazmin Palacios Peguero, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 248 W A St, Galt, CA 95632 Phone: 209-745-2641 | |
Marina Serrano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr, Galt, CA 95632 Phone: 209-744-9909 | |
Solaiman Joshan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr, Galt, CA 95632 Phone: 209-744-9909 | |
Cathrine Hillard, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr Ste F, Galt, CA 95632 Phone: 209-744-9909 Fax: 209-744-9910 |