Mrs Deborah Ann Maddox, FNP | |
410 E. Yosemite Ave, Suite A, Merced, CA 95340 | |
(209) 384-9108 | |
(209) 384-0580 |
Full Name | Mrs Deborah Ann Maddox |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 410 E. Yosemite Ave, Merced, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194832444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | FNP # 16201 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 16201 (California) | Primary |
Entity Name | Provident Primary Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154785517 PECOS PAC ID: 8628350873 Enrollment ID: O20170123002171 |
Mailing Address | Practice Location Address |
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Mrs Deborah Ann Maddox, FNP 410 E. Yosemite Ave, Suite A, Merced, CA 95340 Ph: (209) 384-9108 | Mrs Deborah Ann Maddox, FNP 410 E. Yosemite Ave, Suite A, Merced, CA 95340 Ph: (209) 384-9108 |
Mrs. Rubirosa Cervantes Arandia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3389 G St, Merced, CA 95340 Phone: 209-384-9401 | |
Raj Kumar Sharma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4824 Langley Way, Merced, CA 95348 Phone: 209-724-3553 | |
Mary Alice Hintenach, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 E 13th St, Merced, CA 95340 Phone: 209-385-7060 Fax: 209-385-7017 | |
Mrs. Amanda Eliza Gibson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E 13th St, Merced, CA 95341 Phone: 209-564-4500 | |
Ms. Gina Leisha Broussard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 G St Ste F, Merced, CA 95340 Phone: 209-349-8459 Fax: 209-580-4671 | |
Deirdre Alice Mazzetto, NP, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E 13th St, Merced, CA 95341 Phone: 209-723-2122 | |
Miss Rashilda Ayanna Storm, MSN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 857 W Childs Ave, Geriatrics, Merced, CA 95341 Phone: 209-385-5600 Fax: 209-385-5674 |