Trisha M Mckeon, | |
415a Hospital Dr, Ukiah, CA 95482-4545 | |
(707) 462-3111 | |
Not Available |
Full Name | Trisha M Mckeon |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 415a Hospital Dr, Ukiah, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134771637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 95005408 (California) | Secondary |
363L00000X | Nurse Practitioner | 202203248NP-PP (Oregon) | Primary |
Entity Name | Icco Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
Mailing Address | Practice Location Address |
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Trisha M Mckeon, 415a Hospital Dr, Ukiah, CA 95482-4545 Ph: () - | Trisha M Mckeon, 415a Hospital Dr, Ukiah, CA 95482-4545 Ph: (707) 462-3111 |
Mrs. Frances Ann Laughton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 209, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111 | |
Mrs. Jennifer Lyn Graff, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Drive, Ukiah, CA 95482 Phone: 707-462-7900 Fax: 707-537-2119 | |
Liliane Robison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Laws Ave, Ukiah, CA 95482 Phone: 707-468-1010 | |
Judith Werner Lemke, RN, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 957 Fairway Ave, Ukiah, CA 95482 Phone: 707-468-7414 | |
Xiaojie Wu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 207, Ukiah, CA 95482 Phone: 707-463-7627 | |
Gladys Ruiz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Dora St, Ukiah, CA 95482 Phone: 707-621-1247 | |
Julie Miner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-2400 |