Mrs Rina B Vickery, NP | |
3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | |
(909) 425-7679 | |
(909) 425-6635 |
Full Name | Mrs Rina B Vickery |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 3102 E. Highland Avenue, Patton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427320951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 20301 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rina B Vickery, NP 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 | Mrs Rina B Vickery, NP 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 |
Javier Oscar Anda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7000 | |
Mrs. Joy Tuesday Ramas Engracia, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7000 | |
Mrs. Carise Elizabeth Charles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 East Highland Ave, Patton, CA 92369 Phone: 909-425-7844 Fax: 909-862-0718 | |
Jesika Aboagye, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-583-4948 | |
Nancy Ann Blacketer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 East Highland Ave, Patton, CA 92369 Phone: 909-425-7000 Fax: 909-425-7520 | |
Sharon Sardar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7000 |