Dr Nanette M Mickiewicz, MD | |
1555 Soquel Dr, Santa Cruz, CA 95065-1705 | |
(831) 462-7512 | |
(415) 591-2446 |
Full Name | Dr Nanette M Mickiewicz |
---|---|
Gender | Female |
Speciality | Internal Medicine - Infectious Disease |
Location | 1555 Soquel Dr, 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 |
---|---|---|---|
1558319079 | NPI | - | NPPES |
00G646700 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | G646700 (California) | Primary |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Dr Nanette M Mickiewicz, MD 700 Frederick St, Ste 203, Santa Cruz, CA 95062-2239 Ph: (831) 462-7512 | Dr Nanette M Mickiewicz, MD 1555 Soquel Dr, Santa Cruz, CA 95065-1705 Ph: (831) 462-7512 |
Nicole Sudduth, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 115 Locust St, Santa Cruz, CA 95060 Phone: 831-458-5670 | |
Timothy W Allari, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5610 | |
Brent Culver, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5577 | |
Holly B Moore, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5610 Fax: 831-423-6410 | |
Pritisheel Banga, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1595 Soquel Dr Ste 411, Santa Cruz, CA 95065 Phone: 831-475-8834 Fax: 831-462-2058 | |
Michael Alexander, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1669 Dominican Way, Santa Cruz, CA 95065 Phone: 831-475-2220 Fax: 831-475-2221 | |
Dr. James L Poth Jr., MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 419 Carbonera Dr, Santa Cruz, CA 95060 Phone: 831-426-0607 Fax: 831-427-1525 |