Elissa Ku, NP | |
401 E Highland Ave Ste 450a, San Bernardino, CA 92404-3803 | |
(909) 864-4700 | |
(909) 383-4009 |
Full Name | Elissa Ku |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 401 E Highland Ave Ste 450a, San Bernardino, 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 |
---|---|---|---|
1083126460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95007844 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dignity Health Medical Foundation | 7810800661 | 1199 |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Elissa Ku, NP 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Elissa Ku, NP 401 E Highland Ave Ste 450a, San Bernardino, CA 92404-3803 Ph: (909) 864-4700 |
Ms. Mariana Concepcion Moualem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411 Phone: 909-880-9993 Fax: 909-880-9998 | |
Brenda Jean Boyle, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7103 | |
Mrs. Jocelyn Ellen Seitz-keough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-0988 | |
Laura Elise Hiday, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-382-3535 | |
Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530 | |
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407 Phone: 951-283-9861 | |
Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677 |