Dr Kristine Geronimo Nicolas, MD | |
5256 Mission Blvd, Riverside, CA 92509-4624 | |
(951) 955-5310 | |
Not Available |
Full Name | Dr Kristine Geronimo Nicolas |
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Gender | Female |
Speciality | Internal Medicine |
Location | 5256 Mission Blvd, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851605554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A122983 (California) | Primary |
207R00000X | Internal Medicine | 57-017398 (Ohio) | Secondary |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Mailing Address | Practice Location Address |
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Dr Kristine Geronimo Nicolas, MD 5256 Mission Blvd, Riverside, CA 92709 Ph: (951) 955-0840 | Dr Kristine Geronimo Nicolas, MD 5256 Mission Blvd, Riverside, CA 92509-4624 Ph: (951) 955-5310 |
Sang Kun Yim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-683-6370 | |
Sarah Chae, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4646 Brockton Ave Ste 201, Riverside, CA 92506 Phone: 951-585-1800 Fax: 951-585-1801 | |
Alina S Popa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3636 | |
Richard M. Bradburne, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Shelly C. Thio, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Fawaz Gailani, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Andrew Duke, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3000 |