Lisa Ann Degraff, PMHNP-BC | |
866 Park Ave, Clovis, CA 93611-8542 | |
(559) 960-0929 | |
(559) 241-6609 |
Full Name | Lisa Ann Degraff |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 866 Park Ave, Clovis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588399737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95021818 (California) | Primary |
Entity Name | Mellow Medical Inc A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
Mailing Address | Practice Location Address |
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Lisa Ann Degraff, PMHNP-BC 866 Park Ave, Clovis, CA 93611-8542 Ph: (559) 960-0929 | Lisa Ann Degraff, PMHNP-BC 866 Park Ave, Clovis, CA 93611-8542 Ph: (559) 960-0929 |
Robin D Medina, NP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 785 N Medical Center Dr W, Clovis, CA 93611 Phone: 559-387-1900 Fax: 559-387-1950 | |
Christine Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 W Nees Ave Ste 103, Clovis, CA 93611 Phone: 559-770-3434 | |
Jane Marguerite Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis Community Medical Center, Clovis, CA 93611 Phone: 559-638-2252 | |
Maika Vang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2871 Rall Ave, Clovis, CA 93611 Phone: 559-916-7106 | |
Gloria Christina Sudeta, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2608 | |
Joyalene Onn Lin Ng Hiersche, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Lesha Summer Grigsby, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 W Barcelona Ln, Clovis, CA 93619 Phone: 559-346-9234 |