Corina Clark-derman, FNP | |
500 San Pablo Ave, Albany, CA 94706-1103 | |
(510) 204-8130 | |
Not Available |
Full Name | Corina Clark-derman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 500 San Pablo Ave, Albany, 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 |
---|---|---|---|
1669734778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 772499 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 21609 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Bay Medical Foundation | 4284538778 | 2995 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Corina Clark-derman, FNP 3687 Mt Diablo Blvd, S, Lafayette, CA 94549-3717 Ph: () - | Corina Clark-derman, FNP 500 San Pablo Ave, Albany, CA 94706-1103 Ph: (510) 204-8130 |
Mary Bunzel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861 | |
Margaret Kirkham, RN, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 | |
Michelle Frijas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 Kains Ave Ste 201, Albany, CA 94706 Phone: 510-853-6116 | |
Mary E. Wardlaw, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861 | |
Mr. Dewayne Lee Cecil, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1080 Monroe Ave, Suite 120, Albany, CA 94706 Phone: 510-439-9496 | |
Otis Perry Max Ingersoll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861 | |
Mr. Drew Ho, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 San Pablo Ave, Suite 300, Albany, CA 94706 Phone: 510-204-8130 |