Charissa M Barsos, NP | |
925 Bevins Ct, Lakeport, CA 95453-9754 | |
(707) 263-8382 | |
(707) 263-5019 |
Full Name | Charissa M Barsos |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 925 Bevins Ct, Lakeport, California |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215309398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209013252 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 95011961 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Lakeside Hospital | Lakeport, CA | Hospital |
Adventist Health Clearlake | Clearlake, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake County Tribal Health Consortium Inc | 8729975545 | 26 |
Entity Name | Lake County Tribal Health Consortium Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
Entity Name | Mendocino Community Health Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
Mailing Address | Practice Location Address |
---|---|
Charissa M Barsos, NP 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 | Charissa M Barsos, NP 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
Shaye Larie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 | |
Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 | |
Ms. Patricia Lynn Sanders, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd East, Lakeport, CA 95453 Phone: 707-262-5088 Fax: 707-262-5135 | |
Ellen Marie Boersma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E, #f, Lakeport, CA 95453 Phone: 707-262-3060 | |
Naah N/a Allotey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 487 S Main St, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-253-4036 | |
Florencia Karina Miranda Chumpitaz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-513-6002 |