Dr Carla Nelson, MD | |
780 E Washington Blvd, Ste 202, Crescent City, CA 95531-8397 | |
(707) 464-6715 | |
Not Available |
Full Name | Dr Carla Nelson |
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Gender | Female |
Speciality | Pediatrics |
Location | 780 E Washington Blvd, Crescent City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902065279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A101230 (California) | Primary |
Entity Name | Emergency Medicine Services Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
Entity Name | Hospital Medicine Services Of Fl, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
Mailing Address | Practice Location Address |
---|---|
Dr Carla Nelson, MD File 73679 Box 60000, San Franisco, CA 94160-0000 Ph: (707) 464-1989 | Dr Carla Nelson, MD 780 E Washington Blvd, Ste 202, Crescent City, CA 95531-8397 Ph: (707) 464-6715 |
Susan Brallier, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715 Fax: 707-464-9593 | |
Anne Marie Duncan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Marshall St, Crescent City, CA 95531 Phone: 707-465-1126 Fax: 707-465-0937 | |
Hannah Parker, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 550 E Washington Blvd Bldg Suite100, Crescent City, CA 95531 Phone: 707-465-6925 | |
Richard Fulroth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 Fax: 707-465-6070 | |
Dr. Dominic Omar Ansari, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 800 E Washington Blvd, Crescent City, CA 95531 Phone: 707-464-8511 |