Mr Jed Thomas Colvin, | |
155 Glasson Way, Grass Valley, CA 95945-5723 | |
(530) 274-6000 | |
Not Available |
Full Name | Mr Jed Thomas Colvin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 155 Glasson Way, Grass Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528315538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 22027 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Swope Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972500593 PECOS PAC ID: 2264403443 Enrollment ID: O20040802001469 |
Entity Name | Bouchier-pritchett Family Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942737176 PECOS PAC ID: 1951674340 Enrollment ID: O20170906004065 |
Mailing Address | Practice Location Address |
---|---|
Mr Jed Thomas Colvin, 103 Providence Mine Rd Ste 202, Nevada City, CA 95959-2949 Ph: (530) 470-8377 | Mr Jed Thomas Colvin, 155 Glasson Way, Grass Valley, CA 95945-5723 Ph: (530) 274-6000 |
Renee Etienne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Crown Point Cir Ste 110, Grass Valley, CA 95945 Phone: 530-265-1450 Fax: 530-271-0837 | |
Ms. Peggy Ballard Place, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10052 Alta Sierra Dr, Grass Valley, CA 95949 Phone: 530-477-9100 | |
Ruth Elizabeth Cutter, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Catherine Ln, Suite I, Grass Valley, CA 95945 Phone: 530-274-4111 Fax: 530-274-4112 | |
Kimberly A Elliott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 Sierra College Dr Ste 120, Grass Valley, CA 95945 Phone: 530-477-8358 Fax: 530-477-2015 | |
Stacie La Jeunesse, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 844 Old Tunnel Rd, Grass Valley, CA 95945 Phone: 530-274-9762 Fax: 530-273-7255 | |
Dr. Scott Wayne Perrenod, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Catherine Ln Ste F, Grass Valley, CA 95945 Phone: 888-966-2398 Fax: 888-966-2398 | |
Genevieve Therese Buckley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 Sierra College Dr Ste 120, Grass Valley, CA 95945 Phone: 530-477-4480 |