Annette Ndagano, MD | |
2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | |
(530) 527-0414 | |
(530) 528-4423 |
Full Name | Annette Ndagano |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2450 Sister Mary Columba Dr, Red Bluff, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700978467 | NPI | - | NPPES |
0016477840002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C53487 (California) | Primary |
Entity Name | Yukon-kuskokwim Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515 |
Mailing Address | Practice Location Address |
---|---|
Annette Ndagano, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 | Annette Ndagano, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 |
Kisung Kim, BM Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-527-3720 | |
Kimberli Frantz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Mark Jeffrey Mogul, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 813-295-1505 | |
Dr. Danielle Dionne Dixon, D.O., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Lena Renee Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423 | |
Maria Nelisa N Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423 |