Lilly Pakawongse, RN, MSN, CPNP-PC | |
2970 Hilltop Mall Rd Ste 305, Richmond, CA 94806-5274 | |
(510) 222-5437 | |
(510) 222-5487 |
Full Name | Lilly Pakawongse |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2970 Hilltop Mall Rd Ste 305, Richmond, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366952020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95066338 (California) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 95007505 (California) | Primary |
Entity Name | Ucsf Pediatrics Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Dept Of Surgery |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Mailing Address | Practice Location Address |
---|---|
Lilly Pakawongse, RN, MSN, CPNP-PC 2425 Geary Blvd, San Francisco, CA 94115-3358 Ph: (510) 541-1101 | Lilly Pakawongse, RN, MSN, CPNP-PC 2970 Hilltop Mall Rd Ste 305, Richmond, CA 94806-5274 Ph: (510) 222-5437 |
William Comer, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806 Phone: 510-222-8000 | |
Ms. Ann Ellen Christensen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-2684 | |
Dr. Lisa Kay Tostenson, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Macdonald Ave, Richmond, CA 94804 Phone: 510-233-2918 | |
Ann Margaret Mackenzie, R N P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-2027 | |
Ms. Mary Elizabeth Ackerman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-2370 | |
Mr. Billy Patton Mcdonald, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1555 | |
Ms. Jennifer Lynn Beeckman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2727 Macdonald Ave, Richmond, CA 94804 Phone: 510-213-6680 Fax: 510-213-6680 |