Carol Anne Mccormick, NP | |
2400 Mission St, San Marino, CA 91108 | |
(626) 403-8989 | |
(626) 403-8969 |
Full Name | Carol Anne Mccormick |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 2400 Mission St, San Marino, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821004458 | NPI | - | NPPES |
2771086 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 23089 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Marino Psychiatric Associates Inc | 6709864895 | 5 |
Entity Name | San Marino Psychiatric Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063540938 PECOS PAC ID: 6709864895 Enrollment ID: O20040713001664 |
Entity Name | The Roads Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508278359 PECOS PAC ID: 2961722558 Enrollment ID: O20150521002128 |
Mailing Address | Practice Location Address |
---|---|
Carol Anne Mccormick, NP 4525 E Atherton St, Long Beach, CA 90815-3700 Ph: (562) 961-0155 | Carol Anne Mccormick, NP 2400 Mission St, San Marino, CA 91108 Ph: (626) 403-8989 |
Kate Rose Shantar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Mission St, San Marino, CA 91108 Phone: 626-403-8999 | |
Jennifer Oh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 Huntington Dr Ste G, San Marino, CA 91108 Phone: 626-441-4231 | |
Danielle Schlazer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Mission St, San Marino, CA 91108 Phone: 626-403-8999 | |
Cody Zhou, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 80765, San Marino, CA 91118 Phone: 626-318-1363 | |
Teresa Avendano Tostado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 956 Huntington Dr, San Marino, CA 91108 Phone: 626-593-5993 Fax: 888-444-9401 | |
Vivian Fan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1437 San Marino Ave, San Marino, CA 91108 Phone: 626-793-7922 |