Mrs Tracey Lynn Scott, WHNP-BC, BSN, MSN | |
4455 W 117th St Ste 200, Hawthorne, CA 90250-2240 | |
(626) 457-5515 | |
(626) 457-6923 |
Full Name | Mrs Tracey Lynn Scott |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 4455 W 117th St Ste 200, Hawthorne, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578600185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 61409 (West Virginia) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 17002 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Memorial Hospital San Buenaventura | Ventura, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Memorial Health System | 9537155676 | 164 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Community Memorial Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracey Lynn Scott, WHNP-BC, BSN, MSN 4455 W 117th St Ste 200, Hawthorne, CA 90250-2240 Ph: (626) 457-5515 | Mrs Tracey Lynn Scott, WHNP-BC, BSN, MSN 4455 W 117th St Ste 200, Hawthorne, CA 90250-2240 Ph: (626) 457-5515 |
Trang Thi Kim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3643 W 133rd St, Hawthorne, CA 90250 Phone: 310-297-0194 | |
Mrs. Nadia Heidi Blanco, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11946 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-675-1136 | |
Renee Mckenzie, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-715-8686 | |
Ogbonna Iwuamadi Olelewe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-679-4017 | |
Amanda L Stowell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4866 W 137th St, Hawthorne, CA 90250 Phone: 818-462-1195 | |
Ms. Nona Pacatang Santos, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Joseph Ngwa Tanifor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 |