| Michael Quiceno, NP | |
|
49869 Calhoun St Fl 1, Coachella, CA 92236-9720 | |
| (760) 399-4526 | |
| Not Available |
| Full Name | Michael Quiceno |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 49869 Calhoun St Fl 1, Coachella, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720545858 | NPI | - | NPPES |
| 95011137 | Other | CA | NP FURNISHING LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95011137 (California) | Primary |
| Entity Name | Desert Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
| Entity Name | Memory Check Psychological Services, A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Quiceno, NP 1695 N Sunrise Way, Palm Springs, CA 92262-3701 Ph: (760) 323-2118 | Michael Quiceno, NP 49869 Calhoun St Fl 1, Coachella, CA 92236-9720 Ph: (760) 399-4526 |
Jeffrey Contreras Sr., FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-391-5151 Fax: 760-391-5159 | |
Mr. Saifuddin Talib, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50249 Cesar Chavez St Ste K, Coachella, CA 92236 Phone: 760-393-0555 Fax: 760-393-0522 | |
Mrs. Megan Kellie Suwara, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49617 Cesar Chavez St Ste B, Coachella, CA 92236 Phone: 760-398-3555 | |
Ms. Rocio Ruelas, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51544 Cesar Chavez St Ste 1d, Coachella, CA 92236 Phone: 760-861-1436 | |
Lyneeka Pittman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49-111 Ca-111, #6a, Coachella, CA 92236 Phone: 888-743-7526 | |
Ritu Thapa Magar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49305 Grapefruit Blvd Ste 1, Coachella, CA 92236 Phone: 760-391-9062 | |
Mr. Samuel Howard Babkow, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-775-4181 |