Ms Carrie Kallenbach Gordon, NP | |
300 Bradford Street, Maguire Correctional Facility, Redwood City, CA 94063 | |
(650) 363-4241 | |
Not Available |
Full Name | Ms Carrie Kallenbach Gordon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 300 Bradford Street, Redwood City, 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 |
---|---|---|---|
1134498926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 12246 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Mateo Medical Center | San mateo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of San Mateo | 9032023171 | 262 |
Entity Name | County Of San Mateo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
Entity Name | County Of San Mateo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831268580 PECOS PAC ID: 9032023171 Enrollment ID: O20040123000822 |
Mailing Address | Practice Location Address |
---|---|
Ms Carrie Kallenbach Gordon, NP 300 Bradford Avenue, Maguire Correctional Facility, Redwood City, CA 94063 Ph: (650) 363-4241 | Ms Carrie Kallenbach Gordon, NP 300 Bradford Street, Maguire Correctional Facility, Redwood City, CA 94063 Ph: (650) 363-4241 |
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