Tim Jack Wilkins, CAADAC | |
707 Fair Ave, Santa Cruz, CA 95060-5828 | |
(831) 427-1007 | |
Not Available |
Full Name | Tim Jack Wilkins |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 707 Fair Ave, Santa Cruz, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437314416 | NPI | - | NPPES |
N3434433 | Other | CA | DRIVERS LICENSE |
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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Tim Jack Wilkins, CAADAC 707 Fair Ave, Santa Cruz, CA 95060-5828 Ph: (831) 427-1007 | Tim Jack Wilkins, CAADAC 707 Fair Ave, Santa Cruz, CA 95060-5828 Ph: (831) 427-1007 |
Mr. Craig Alan Murray, MFTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000a, 1010c Emeline Ave., Santa Cruz, CA 95060 Phone: 831-425-0112 Fax: 831-425-1847 | |
Chandra Holmes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Ocean St, Suite K, Santa Cruz, CA 95060 Phone: 831-459-0444 Fax: 831-459-0665 | |
Deborah Lisa Helms, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Soquel Ave, #260, Office A, Santa Cruz, CA 95062 Phone: 831-345-2383 | |
Ms. C. Mary Corey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 Potrero St, #42-103, Santa Cruz, CA 95060 Phone: 831-466-9307 Fax: 831-466-9748 | |
Joshua Schwartz, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Park Way, Santa Cruz, CA 95062 Phone: 831-818-3346 | |
Christopher A Jefferson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Encinal St Ste 200, Santa Cruz, CA 95060 Phone: 831-469-1700 Fax: 831-425-1905 | |
Teresa Maria Mcinerney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Encinal St Ste 200, Santa Cruz, CA 95060 Phone: 831-425-1905 |