Kelli Gora, | |
41870 Garstin Rd., Big Bear Lake, CA 92315 | |
(909) 878-8294 | |
Not Available |
Full Name | Kelli Gora |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 41870 Garstin Rd., Big Bear Lake, 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 |
---|---|---|---|
1417372186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95000429 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bear Valley Community Health Care District | 0345138582 | 4 |
California Em-i Medical Services A Medical Corporation | 3678487774 | 6 |
Big Bear Urgent Care Inc | 8729460233 | 3 |
Entity Name | Bear Valley Community Health Care District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073553756 PECOS PAC ID: 0345138582 Enrollment ID: O20040312000729 |
Entity Name | Stephen R Shea Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942239033 PECOS PAC ID: 7416854377 Enrollment ID: O20040422001706 |
Entity Name | California Em-i Medical Services A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881987360 PECOS PAC ID: 3678487774 Enrollment ID: O20110718000588 |
Entity Name | Executive Urgent Care Of Indian Wells |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801181961 PECOS PAC ID: 0042456212 Enrollment ID: O20130412000154 |
Entity Name | Big Bear Urgent Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366104671 PECOS PAC ID: 8729460233 Enrollment ID: O20220801000326 |
Mailing Address | Practice Location Address |
---|---|
Kelli Gora, 1141 La Loma Dr, Santa Ana, CA 92705-2902 Ph: (714) 335-4113 | Kelli Gora, 41870 Garstin Rd., Big Bear Lake, CA 92315 Ph: (909) 878-8294 |
Kimberly Brooke Delandtsheer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42002 Fox Farm Rd, Big Bear Lake, CA 92315 Phone: 909-878-8000 | |
Mrs. Melissa Ann Staricka, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 370 Summit Blvd, Big Bear Lake, CA 92315 Phone: 909-878-8246 | |
Ms. Tasha Nicole Lowery, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315 Phone: 909-866-8501 | |
Jamie Davidson, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41820 Garstin Dr, Big Bear Lake, CA 92315 Phone: 909-878-8246 | |
Paul Kalfell, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41820 Garstin Drive, Box 1649, Big Bear Lake, CA 92315 Phone: 909-878-8246 | |
Rosemary Proff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41870 Garstin Dr, Big Bear Lake, CA 92315 Phone: 425-256-0387 |