Miranda George, | |
Beale Afb, Beale Afb, CA 95903 | |
(530) 634-2863 | |
Not Available |
Full Name | Miranda George |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | Beale Afb, Beale Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427470533 | 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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Miranda George, 1750 Presidents St, Reston, VA 20190-5617 Ph: (571) 526-7000 | Miranda George, Beale Afb, Beale Afb, CA 95903 Ph: (530) 634-2863 |
Sara Morrow, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 15301 Warren Shingle Road, Beale Afb, CA 95903 Phone: 530-634-4662 | |
Ms. Dianna M. Garbett, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 15301 Warren Shingle Road, 9 Mdos Sgohf, Beale Afb, CA 95903 Phone: 530-634-3423 Fax: 530-634-0670 | |
Katherine Meadows, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15301 Warren Shingle Rd, Beale Afb, CA 95903 Phone: 530-634-3420 Fax: 530-634-4812 |