Miss Marlene R San Nicolas, OD | |
415 Chalan San Antonio, Suite 111-113, Tamuning, GU 96913-3620 | |
(671) 648-3350 | |
(671) 647-3546 |
Full Name | Miss Marlene R San Nicolas |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 32 Years |
Location | 415 Chalan San Antonio, Tamuning, Guam |
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 |
---|---|---|---|
1154381515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OL027 (Guam) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Takecare Insurance Company Inc | 8325951239 | 24 |
Provider Name | Takecare Insurance Company Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972565240 PECOS PAC ID: 8325951239 Enrollment ID: O20140918000062 |
Mailing Address | Practice Location Address |
---|---|
Miss Marlene R San Nicolas, OD Po Box 6578, Tamuning, GU 96931-6578 Ph: (671) 648-3350 | Miss Marlene R San Nicolas, OD 415 Chalan San Antonio, Suite 111-113, Tamuning, GU 96913-3620 Ph: (671) 648-3350 |
Dr. John Junghyun Kim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-646-1292 | |
Mr. Joel Mendoza Dizon, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913 Phone: 671-646-5825 Fax: 671-647-3556 | |
Cuong Ngoc Huynh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 761 S Marine Corps Dr, 2020 Vision Center Cen Tam Bldg Ste A1, Tamuning, GU 96913 Phone: 671-646-3001 Fax: 671-649-3001 | |
Mr. Jay Joseph Mcdonald, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 548 South Marine Corps Drive, Tamuning, GU 96913 Phone: 671-646-5824 Fax: 671-647-3546 | |
Dr. Jeannette F Storey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-648-5557 | |
Dr. Julian C Archer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1234 N Marine Corps Dr Ste 202, Tamuning, GU 96913 Phone: 671-989-4747 Fax: 671-989-4743 |