Gemma Porsuelo-bangsal, NP | |
3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | |
(770) 931-6318 | |
Not Available |
Full Name | Gemma Porsuelo-bangsal |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3650 Steve Reynolds Blvd, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407874472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 15158 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Gemma Porsuelo-bangsal, NP 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: (770) 931-6318 | Gemma Porsuelo-bangsal, NP 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: (770) 931-6318 |
Christopher Pride, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052 | |
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151 | |
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396 | |
Dailan Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3960 Howell Park Rd, Duluth, GA 30096 Phone: 404-324-0131 | |
Lovelin Fonkika, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6650 Sugarloaf Pkwy Ste 800, Duluth, GA 30097 Phone: 404-921-3334 | |
Linda Lee Peabody, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Duluth, GA 30096 Phone: 770-670-4640 | |
Elisabeth Olsen Peterson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2660 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8330 |