Tanen Tyrell St Clair - Brown, | |
1441 Constitution Blvd, Salinas, CA 93906-3100 | |
(831) 755-4111 | |
(773) 537-0029 |
Full Name | Tanen Tyrell St Clair - Brown |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 1441 Constitution Blvd, Salinas, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487040739 | NPI | - | NPPES |
1487040739 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 20A17296 (California) | Primary |
208M00000X | Hospitalist | 80011-21 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Watsonville Community Hospital | Watsonville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinehurst Hospitalist Medical Group, Inc. | 4183055387 | 8 |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Entity Name | Family Health Centers Of San Diego, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Entity Name | Pinehurst Hospitalist Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710516364 PECOS PAC ID: 4183055387 Enrollment ID: O20200501002086 |
Entity Name | North State Hospitalist Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598305682 PECOS PAC ID: 2668893447 Enrollment ID: O20200603000666 |
Mailing Address | Practice Location Address |
---|---|
Tanen Tyrell St Clair - Brown, 1441 Constitution Blvd, Salinas, CA 93906-3100 Ph: (831) 755-4111 | Tanen Tyrell St Clair - Brown, 1441 Constitution Blvd, Salinas, CA 93906-3100 Ph: (831) 755-4111 |
Elaine Yu Lee, Hospitalist Medicare: Medicare Enrolled Practice Location: 450 E Romie Ln, Salinas, CA 93901 Phone: 831-759-3257 Fax: 831-754-3875 | |
Liane De Guzman, Hospitalist Medicare: Medicare Enrolled Practice Location: 450 E Romie Ln, Salinas, CA 93901 Phone: 831-757-4333 | |
Dr. Jose Ajoc Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 E Romie Ln, Salinas, CA 93901 Phone: 831-757-4333 | |
Alex Logono, Hospitalist Medicare: Medicare Enrolled Practice Location: 450 E Romie Ln, Salinas, CA 93901 Phone: 831-759-3257 Fax: 831-754-3875 | |
Kelly Gram, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 E Romie Ln, Salinas, CA 93901 Phone: 831-759-3257 Fax: 831-754-3875 | |
Arvind R Bhat, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 E Romie Ln, Salinas, CA 93901 Phone: 831-759-3257 Fax: 831-754-3875 |