| Cassie Maciel Md Pc | |
|
400 W Pueblo St Santa Barbara CA 93105-4353 | |
| (401) 440-0918 | |
| Not Available |
| Full Name | Cassie Maciel Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 W Pueblo St, Santa Barbara, California |
| Authorized Official Name and Position | Cassie Maciel (OWNER) |
| Authorized Official Contact | 4014400918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassie Maciel Md Pc Po Box 3814 Santa Barbara CA 93130-3814 Ph: (401) 440-0918 | Cassie Maciel Md Pc 400 W Pueblo St Santa Barbara CA 93105-4353 Ph: (401) 440-0918 |
| NPI Number | 1821668401 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 0244635944 |
|---|---|
| Medicare Enrollment ID | O20210818002300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821668401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cassie Maciel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225482409 PECOS PAC ID: 0547553737 Enrollment ID: I20210818002391 |
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