Ms Michele C Mack, NP | |
16111 Plummer St, Bldg #200 Rm#3411, North Hills, CA 91343-2036 | |
(818) 891-7711 | |
(818) 895-9453 |
Full Name | Ms Michele C Mack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 31 Years |
Location | 16111 Plummer St, North Hills, 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 |
---|---|---|---|
1609806272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | RN396527 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Institute | 5991609737 | 293 |
Entity Name | Providence Medical Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
Mailing Address | Practice Location Address |
---|---|
Ms Michele C Mack, NP 16111 Plummer St, North Hills, CA 91343-2036 Ph: (818) 891-7711 | Ms Michele C Mack, NP 16111 Plummer St, Bldg #200 Rm#3411, North Hills, CA 91343-2036 Ph: (818) 891-7711 |
Ms. Yvonne Josephine Garcia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 Fax: 818-895-9571 | |
Janel Keeling Perez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16111 Plummer St, Bldg 20, Rm 118c Mc122, North Hills, CA 91343 Phone: 818-891-7711 Fax: 818-895-9339 | |
Shobha Sharma, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15206 Parthenia St, North Hills, CA 91343 Phone: 818-895-3100 | |
Ms. Esther Eliza Defournoy, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15525 Nordhoff St Apt 38, North Hills, CA 91343 Phone: 631-645-4662 | |
Maria Lourdes Bernaldez, GNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10051 Gaynor Ave, North Hills, CA 91343 Phone: 310-803-7990 | |
Karapet Mirakyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16261 Gledhill St, North Hills, CA 91343 Phone: 818-824-2957 | |
Roberto Carpio, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9427 Lemona Ave Unit 31, North Hills, CA 91343 Phone: 213-344-6332 Fax: 818-892-4952 |