| Ana Karen Chavez, | |
|
1410 Lincoln Ave Apt 2, San Rafael, CA 94901-2032 | |
| (415) 827-9830 | |
| Not Available |
| Full Name | Ana Karen Chavez |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 1410 Lincoln Ave Apt 2, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538731302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 822888 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ana Karen Chavez, 1410 Lincoln Ave Apt 2, San Rafael, CA 94901-2032 Ph: (415) 827-9830 | Ana Karen Chavez, 1410 Lincoln Ave Apt 2, San Rafael, CA 94901-2032 Ph: (415) 827-9830 |
Melanie Jenkins Austin, NP RN CNM Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3260 Kerner Blvd, San Rafael, CA 94901 Phone: 415-507-4030 Fax: 415-507-2634 | |
Wendi Diane Thomas, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 361 Third Street, Suite E, San Rafael, CA 94901 Phone: 415-507-4030 | |
Sharayn Forkel, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 899 Northgate Dr, Suite 100, San Rafael, CA 94903 Phone: 415-473-3078 Fax: 415-473-6881 | |
Mary Smart, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 161 Mitchell Blvd Ste 200, San Rafael, CA 94903 Phone: 415-499-7377 Fax: 415-507-4114 | |
Lily Breen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 54 Crestwood Dr, San Rafael, CA 94901 Phone: 415-246-6705 | |
Kate Mcglashan, NP RN CNM Registered Nurse Medicare: Medicare Enrolled Practice Location: 361 Third Street, Suite E, San Rafael, CA 94901 Phone: 415-499-4030 Fax: 415-507-2634 | |
Carmen Lily Carrouche, RN, CNS, PMH-NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 16 Ritter St, San Rafael, CA 94901 Phone: 415-457-8182 Fax: 415-457-3490 |