Mary Kathryn Phillips, CNM | |
43911 Running Brook Cir, Temecula, CA 92592-5663 | |
(760) 521-4596 | |
Not Available |
Full Name | Mary Kathryn Phillips |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 43911 Running Brook Cir, Temecula, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972583300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | R0046429 (Oklahoma) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Obhg California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
Mailing Address | Practice Location Address |
---|---|
Mary Kathryn Phillips, CNM 43911 Running Brook Cir, Temecula, CA 92592-5663 Ph: (760) 521-4596 | Mary Kathryn Phillips, CNM 43911 Running Brook Cir, Temecula, CA 92592-5663 Ph: (760) 521-4596 |
Candace Michelle Mooney, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 41715 Winchester Rd, Suite 204, Temecula, CA 92590 Phone: 951-719-1414 Fax: 951-719-3158 |