Millie Mae Hathaway, DO | |
1601 Monte Vista Ave Ste 100, Claremont, CA 91711-6601 | |
(909) 630-7938 | |
(909) 469-2118 |
Full Name | Millie Mae Hathaway |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1601 Monte Vista Ave Ste 100, Claremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043847627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A20053 (California) | Primary |
Entity Name | Premier Family Medicine Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912907114 PECOS PAC ID: 4284547522 Enrollment ID: O20031111000889 |
Mailing Address | Practice Location Address |
---|---|
Millie Mae Hathaway, DO 1601 Monte Vista Ave Ste 260, Claremont, CA 91711-6604 Ph: (909) 630-7938 | Millie Mae Hathaway, DO 1601 Monte Vista Ave Ste 100, Claremont, CA 91711-6601 Ph: (909) 630-7938 |
Jennie Yen Fang Ho, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 757 College Way, Claremont, CA 91711 Phone: 909-621-8222 Fax: 909-621-8472 | |
Nicholle A Henley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 Monte Vista Ave Ste 190, Claremont, CA 91711 Phone: 909-865-9977 | |
Yen Ingrid Lai, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 310 N Indian Hill Blvd # 240, Claremont, CA 91711 Phone: 909-244-8902 Fax: 714-482-4000 | |
Seema Suresh Kamble, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Monte Vista Ave Ste 190, Claremont, CA 91711 Phone: 909-865-9977 Fax: 909-469-2119 | |
Tina He Yun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Monte Vista Ave Ste 100, Claremont, CA 91711 Phone: 909-630-7938 Fax: 909-469-2118 | |
Jeffrey Ijadi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Monte Vista Ave, Suite 100, Claremont, CA 91711 Phone: 909-630-7938 Fax: 909-469-2118 |