Hannah Parker, DO | |
550 E Washington Blvd Bldg Suite100, Crescent City, CA 95531-8160 | |
(707) 465-6925 | |
Not Available |
Full Name | Hannah Parker |
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Gender | Female |
Speciality | Pediatrics |
Location | 550 E Washington Blvd Bldg Suite100, 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 |
---|---|---|---|
1295231306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A19023 (California) | Primary |
Entity Name | Open Door Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
Mailing Address | Practice Location Address |
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Hannah Parker, DO 1275 8th St, Arcata, CA 95521-5770 Ph: () - | Hannah Parker, DO 550 E Washington Blvd Bldg Suite100, Crescent City, CA 95531-8160 Ph: (707) 465-6925 |
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 | |
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 | |
Dr. Carla Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715 |