Jennifer Irvine, DO | |
685 Morro Ave Ste C, Morro Bay, CA 93442-2233 | |
(805) 772-7313 | |
(805) 772-0395 |
Full Name | Jennifer Irvine |
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Gender | Female |
Speciality | Family Medicine |
Location | 685 Morro Ave Ste C, Morro Bay, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346879731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21259 (California) | Primary |
Entity Name | Pacific Central Coast Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Irvine, DO 685 Morro Ave Ste C, Morro Bay, CA 93442-2233 Ph: (805) 772-7313 | Jennifer Irvine, DO 685 Morro Ave Ste C, Morro Bay, CA 93442-2233 Ph: (805) 772-7313 |
Dr. Patrick J Vaughan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 685 Morro Avenue, Suite C, Morro Bay, CA 93442 Phone: 805-772-7313 Fax: 805-772-0395 | |
Dr. Mark Alan Ward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Las Vegas St, Morro Bay, CA 93442 Phone: 805-772-7100 Fax: 805-772-7776 | |
Jason Adam Hull, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 685 Morro Ave Ste C, Morro Bay, CA 93442 Phone: 805-772-7313 Fax: 805-772-0395 |