Ms Marianne Wachalovsky, FNP | |
5140 Business Center Dr, Suite 130, Fairfield, CA 94534-1793 | |
(707) 646-4218 | |
Not Available |
Full Name | Ms Marianne Wachalovsky |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 5140 Business Center Dr, Fairfield, 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 |
---|---|---|---|
1316247737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20316 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Legacy Salmon Creek Hospital | 0446295711 | 236 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Ms Marianne Wachalovsky, FNP 818 Stillson Dr, Petaluma, CA 94954-6854 Ph: () - | Ms Marianne Wachalovsky, FNP 5140 Business Center Dr, Suite 130, Fairfield, CA 94534-1793 Ph: (707) 646-4218 |
Rebecca J Perez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 070-784-2010 Fax: 707-784-1495 | |
Angeline Sabrina Zarghami, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-4166 Fax: 707-646-4169 | |
Laurence Cecilio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5000 | |
Kylie Harms, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Beck Ave, Ms 9100, Fairfield, CA 94533 Phone: 707-784-8193 | |
Courtney M Minor, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway St, Fairfield, CA 94533 Phone: 601-334-6893 | |
Mrs. Rosemarie Samano Tarampi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3373 Pebble Beach Ct, Fairfield, CA 94534 Phone: 707-639-2405 Fax: 707-759-6749 | |
Ms. Elvia Nmn Martinez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4436 |