| Jan Matthew Bosch, BSN, RN, MSN, FNP | |
|
190 S Oak Ave Ste 1, Oakdale, CA 95361-3528 | |
| (209) 848-8410 | |
| Not Available |
| Full Name | Jan Matthew Bosch |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 190 S Oak Ave Ste 1, Oakdale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851009724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95023295 (California) | Primary |
| Entity Name | Go Gently Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447889274 PECOS PAC ID: 9931510187 Enrollment ID: O20210331001579 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Matthew Bosch, BSN, RN, MSN, FNP 190 S Oak Ave Ste 1, Oakdale, CA 95361-3528 Ph: (209) 848-8410 | Jan Matthew Bosch, BSN, RN, MSN, FNP 190 S Oak Ave Ste 1, Oakdale, CA 95361-3528 Ph: (209) 848-8410 |
Joanne Mccartney, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Laurel Avenue, Oakdale, CA 95361 Phone: 209-847-0864 Fax: 209-847-7439 | |
Mr. Anthony Ogbodo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 S Oak Ave, Oakdale, CA 95361 Phone: 209-847-3011 | |
Kenneth Wayne Erickson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 W H St, Oakdale, CA 95361 Phone: 209-848-4180 Fax: 209-848-5337 | |
Ms. Dixie Ann Fisher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 W H St, Oakdale, CA 95361 Phone: 209-848-5336 Fax: 209-848-5338 | |
Ms. Susan Jean Mealy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 W H St, Oakdale, CA 95361 Phone: 209-848-4180 Fax: 209-848-5338 | |
Rebekah Stout, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 317 Trevor Ave, Oakdale, CA 95361 Phone: 801-404-4854 | |
Rashika Virdi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 Triple Crown Ct, Oakdale, CA 95361 Phone: 209-404-3066 |