| Mickey Michelle Fox, FNP-BC | |
|
17450 Main St Ste D, Hesperia, CA 92345-6262 | |
| (760) 493-2929 | |
| Not Available |
| Full Name | Mickey Michelle Fox |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 17450 Main St Ste D, Hesperia, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427886209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 95109643 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95031507 (California) | Primary |
| Entity Name | Universal Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376632877 PECOS PAC ID: 2365332368 Enrollment ID: O20040315001597 |
| Entity Name | Molina Healthcare Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
| Entity Name | Central Health Plan Of California, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Mickey Michelle Fox, FNP-BC 6989 Svl Box, Victorville, CA 92395-5186 Ph: (909) 636-1582 | Mickey Michelle Fox, FNP-BC 17450 Main St Ste D, Hesperia, CA 92345-6262 Ph: (760) 493-2929 |
Lauretta Karolczak, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St, Hesperia, CA 92345 Phone: 760-947-8231 | |
Halima Zainab, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15791 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-949-1231 Fax: 877-738-3841 | |
Richard D. Norton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St Ste 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Edgar Benitez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9032 Seal Beach Dr, Hesperia, CA 92344 Phone: 909-615-6156 | |
Albert Lamont Springer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main Street, Suite 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Irina M Jovel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16455 Main St, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Maria Tuya, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St Ste B, Hesperia, CA 92345 Phone: 760-949-4118 Fax: 760-949-0987 |