Mark Denniel Macabuag Javier, | |
14220 Woodcreek Rd, Poway, CA 92064-3350 | |
(858) 335-0379 | |
Not Available |
Full Name | Mark Denniel Macabuag Javier |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 14220 Woodcreek Rd, Poway, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134804206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WW0000X | Registered Nurse - Wound Care | 729618 (California) | Secondary |
363L00000X | Nurse Practitioner | 95020784 (California) | Primary |
Entity Name | Wound Healing Care Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306317961 PECOS PAC ID: 5698019602 Enrollment ID: O20181203001136 |
Mailing Address | Practice Location Address |
---|---|
Mark Denniel Macabuag Javier, Po Box 1453, Poway, CA 92074-1453 Ph: (858) 335-0379 | Mark Denniel Macabuag Javier, 14220 Woodcreek Rd, Poway, CA 92064-3350 Ph: (858) 335-0379 |
Ms. Anapatricia Najera-higareda, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15611 Pomerado Rd, Poway, CA 92064 Phone: 858-675-3100 | |
Allison Floyd, DNP, FNP-BC, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15611 Pomerado Rd, Poway, CA 92064 Phone: 858-675-3200 | |
Shawn Michelle Laird, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15615 Pomerado Rd, Poway, CA 92064 Phone: 858-613-4187 Fax: 858-613-4262 | |
Leah Marie Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15525 Pomerado Rd, Suite A2, Poway, CA 92064 Phone: 858-451-3311 | |
Abimbola Akinruli, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15725 Pomerado Rd Ste 105, Poway, CA 92064 Phone: 858-485-7246 | |
Sarah Evans, MSN-ED, FNP-BC, CEN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15611 Pomerado Rd, Poway, CA 92064 Phone: 619-933-0901 | |
Mrs. Madeline Reid, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd Ste C1, Poway, CA 92064 Phone: 858-451-7944 |