| Scott Gwilliam, FNP-BC | |
|
3 Burr Ct, Lafayette, CA 94549-5504 | |
| (801) 367-1318 | |
| Not Available |
| Full Name | Scott Gwilliam |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3 Burr Ct, Lafayette, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942892815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95016644 (California) | Primary |
| Entity Name | Integrated Pain Management Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922198779 PECOS PAC ID: 0547252918 Enrollment ID: O20040402001211 |
| Entity Name | Tuolumne Me-wuk Indian Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619952397 PECOS PAC ID: 6507816386 Enrollment ID: O20050128000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Gwilliam, FNP-BC 3 Burr Ct, Lafayette, CA 94549-5504 Ph: (801) 367-1318 | Scott Gwilliam, FNP-BC 3 Burr Ct, Lafayette, CA 94549-5504 Ph: (801) 367-1318 |
Nicole Long, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 Carl Rd, Lafayette, CA 94549 Phone: 510-333-5966 Fax: 925-403-7736 | |
Mrs. Suzanne M Sommer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 911 Moraga Rd, #101, Lafayette, CA 94549 Phone: 925-962-9120 Fax: 925-962-9122 | |
Karen Tinder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3466 Mt Diablo Blvd Ste C104, Lafayette, CA 94549 Phone: 925-674-2609 Fax: 925-674-2211 | |
Crystine L'heraux, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3249 Mt Diablo Ct Ste 206, Lafayette, CA 94549 Phone: 925-338-0448 Fax: 840-400-1020 | |
Elizabeth Anne Summerhayes, R.N.,N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3542 Oconner Dr, Lafayette, CA 94549 Phone: 408-315-9738 | |
Richard Stoykovich, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 Willoughby Ct, Lafayette, CA 94549 Phone: 925-963-4574 | |
Bridget Nelson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549 Phone: 925-284-1210 |