Ms Jacqueline Michelle Abdalla, MD | |
23 Main St, Winters, CA 95694 | |
(530) 795-4377 | |
Not Available |
Full Name | Ms Jacqueline Michelle Abdalla |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 23 Main St, Winters, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376937557 | NPI | - | NPPES |
A145419 | Other | CA | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A145419 (California) | Primary |
Entity Name | County Of Sacramento |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366513061 PECOS PAC ID: 0345231247 Enrollment ID: O20050405000747 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline Michelle Abdalla, MD 2532 San Jose Way, Sacramento, CA 95817-2161 Ph: (732) 407-4314 | Ms Jacqueline Michelle Abdalla, MD 23 Main St, Winters, CA 95694 Ph: (530) 795-4377 |
Carly Grovhoug, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Main St Ste B, Winters, CA 95694 Phone: 530-795-4591 Fax: 530-795-0315 | |
William Boyce Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 107 Main St, Winters, CA 95694 Phone: 530-795-1110 Fax: 530-795-1115 | |
Dr. Matthew Eagan Rosenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23 Main St, Winters, CA 95694 Phone: 530-795-4377 | |
Carla J Kakutani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Main St, Suite B, Winters, CA 95694 Phone: 530-795-4591 Fax: 530-795-0315 |