Teresa M Thais, FNP | |
722 Baker Street, Costa Mesa, CA 92626 | |
(714) 557-6300 | |
(714) 966-9509 |
Full Name | Teresa M Thais |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 722 Baker Street, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801000237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 523371 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 16954 (California) | Primary |
Entity Name | Memorialcare Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
---|---|
Teresa M Thais, FNP 722 Baker Street, Costa Mesa, CA 92626 Ph: (714) 557-6300 | Teresa M Thais, FNP 722 Baker Street, Costa Mesa, CA 92626 Ph: (714) 557-6300 |
Alexandra Hutchison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Baker St Ste A, Costa Mesa, CA 92626 Phone: 714-559-5436 | |
Judith Rivera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Fl 11, Costa Mesa, CA 92626 Phone: 623-374-7774 Fax: 855-420-6361 | |
Madison Lucas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Paularino Ave Ste D182, Costa Mesa, CA 92626 Phone: 866-300-7227 | |
Yvette Alfelor Elpidio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 Airway Ave, T-3, Costa Mesa, CA 92626 Phone: 714-545-5550 Fax: 714-545-5748 | |
Mrs. Suzanne Clara Larkin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1665 Scenic Ave, Costa Mesa, CA 92626 Phone: 714-436-4444 | |
Rachel Renee Cliser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 E 17th St Ste 101, Costa Mesa, CA 92627 Phone: 949-515-4548 | |
Courtney Proctor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W 19th St, Costa Mesa, CA 92627 Phone: 714-922-4100 |