| Well Care Foundation Inc | |
|
315 Record St Reno NV 89512-3327 | |
| (775) 348-8811 | |
| Not Available |
| Full Name | Well Care Foundation Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 Record St, Reno, Nevada |
| Authorized Official Name and Position | Frances Malinis (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7024107825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Care Foundation Inc 3312 W Charleston Blvd Las Vegas NV 89102-1829 Ph: (702) 410-7825 | Well Care Foundation Inc 315 Record St Reno NV 89512-3327 Ph: (775) 348-8811 |
| NPI Number | 1629548144 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 03/06/2019 |
| Medicare PECOS PAC ID | 0143551515 |
|---|---|
| Medicare Enrollment ID | O20191016001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629548144 | NPI | - | NPPES |
| Provider Name | Damon C Zavala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437122835 PECOS PAC ID: 5294784567 Enrollment ID: I20050113001011 |
| Provider Name | Patricia A Romo Macaluso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780627851 PECOS PAC ID: 8820194806 Enrollment ID: I20070508000539 |
| Provider Name | Daniel Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124201801 PECOS PAC ID: 0749451136 Enrollment ID: I20110915000061 |
| Provider Name | Ike M Ekekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699146464 PECOS PAC ID: 3274834775 Enrollment ID: I20151228001734 |
| Provider Name | Melissa Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114425485 PECOS PAC ID: 0446511489 Enrollment ID: I20180307002296 |
| Provider Name | Michael Palma Casal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568551638 PECOS PAC ID: 8921039447 Enrollment ID: I20180614001116 |
| Provider Name | Megan Queral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992180244 PECOS PAC ID: 8426306457 Enrollment ID: I20180807002119 |
| Provider Name | Carrissia Feaster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740695352 PECOS PAC ID: 1355560640 Enrollment ID: I20181221002095 |
| Provider Name | Julie Westwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124598818 PECOS PAC ID: 7315285699 Enrollment ID: I20190212001215 |
| Provider Name | Suzann Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619247681 PECOS PAC ID: 3274875208 Enrollment ID: I20190423002252 |
| Provider Name | Shauna-dean Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982150892 PECOS PAC ID: 6709162092 Enrollment ID: I20190528000844 |
| Provider Name | Marie Luback-neves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023401999 PECOS PAC ID: 2860824091 Enrollment ID: I20191108002554 |
| Provider Name | Heidi Wesbrock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598135279 PECOS PAC ID: 8628401254 Enrollment ID: I20191211003095 |
| Provider Name | Natalie J Mcmillen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053616391 PECOS PAC ID: 1557797933 Enrollment ID: I20200203001354 |
| Provider Name | Johann Sprenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255796934 PECOS PAC ID: 7618306655 Enrollment ID: I20200326002526 |
| Provider Name | Tammy Hufton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881008639 PECOS PAC ID: 2769603109 Enrollment ID: I20200406000031 |
| Provider Name | Mavis B Major |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750552584 PECOS PAC ID: 2365868197 Enrollment ID: I20200811002843 |
| Provider Name | Jasmine Manocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205444510 PECOS PAC ID: 8628484557 Enrollment ID: I20210301002032 |
| Provider Name | Jamie P Ucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174116735 PECOS PAC ID: 3870900525 Enrollment ID: I20210325001740 |
| Provider Name | Rachel Coffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053428524 PECOS PAC ID: 5799192308 Enrollment ID: I20210326002307 |
| Provider Name | Kaiwen Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366035750 PECOS PAC ID: 0648687103 Enrollment ID: I20210329001962 |
| Provider Name | Victoria R Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730658303 PECOS PAC ID: 0143639369 Enrollment ID: I20210429000735 |
| Provider Name | Aubree Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215498654 PECOS PAC ID: 6002216793 Enrollment ID: I20210617001230 |
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