Scott Michael Charlton, | |
2215 Blue Gum Ave, Modesto, CA 95358-1052 | |
(209) 573-1981 | |
(209) 525-5498 |
Full Name | Scott Michael Charlton |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2215 Blue Gum Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043652944 | NPI | - | NPPES |
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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Scott Michael Charlton, 2215 Blue Gum Ave, Modesto, CA 95358-1052 Ph: (209) 573-1981 | Scott Michael Charlton, 2215 Blue Gum Ave, Modesto, CA 95358-1052 Ph: (209) 573-1981 |
Amber Nicole Allred, IMF Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 K St, Modesto, CA 95354 Phone: 209-550-5869 | |
Virginia A. Horton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Coffee Road, Suite H-4, Modesto, CA 95355 Phone: 209-613-4255 Fax: 209-567-1015 | |
Daniel Eric Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 I St, Modesto, CA 95354 Phone: 209-552-2890 | |
Natalie Rahe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Coffee Rd, Modesto, CA 95355 Phone: 209-554-6808 | |
Crystal A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Downey Ave, Modesto, CA 95354 Phone: 209-341-1824 | |
Nereida Lomeli, MFT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Tully Rd, Ste F, Modesto, CA 95350 Phone: 209-576-1750 Fax: 209-576-1768 | |
Cynthia Marie Mccleary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Cummins Dr, Modesto, CA 95358 Phone: 209-622-1420 |