Ms Yvonne Carlo Medock, NP | |
190 E. Highland Ave, San Bernardino, CA 92404-3658 | |
(909) 882-4788 | |
(909) 882-8819 |
Full Name | Ms Yvonne Carlo Medock |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 190 E. Highland Ave, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700948924 | NPI | - | NPPES |
P01805640-DU5182 | Other | CA | RAILROAD MEDICARE |
07252016 | Other | CA | MEDICAL COLTON EFF 7/25/16 |
P01288547/DU4034 | Other | CA | RAILROAD MEDICARE-SAN BERNARDINO |
EFF:2/21/13-FONTANA | Medicaid | CA | |
EFF.4/23/13-S.RIVERS | Medicaid | CA | |
EFF:2/21/13 SAN BERN | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP30006841 (Washington) | Secondary |
363L00000X | Nurse Practitioner | 11606 (California) | Primary |
Entity Name | Caremore Health Medical Partners West, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073110607 PECOS PAC ID: 8921419813 Enrollment ID: O20201125000882 |
Mailing Address | Practice Location Address |
---|---|
Ms Yvonne Carlo Medock, NP 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Ms Yvonne Carlo Medock, NP 190 E. Highland Ave, San Bernardino, CA 92404-3658 Ph: (909) 882-4788 |
Ms. Mariana Concepcion Moualem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411 Phone: 909-880-9993 Fax: 909-880-9998 | |
Brenda Jean Boyle, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7103 | |
Mrs. Jocelyn Ellen Seitz-keough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-0988 | |
Laura Elise Hiday, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-382-3535 | |
Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530 | |
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407 Phone: 951-283-9861 | |
Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677 |