| Jam Healthcare Inc | |
|
3680 Grant Dr Ste F Reno NV 89509-5350 | |
| (702) 302-6587 | |
| Not Available |
| Full Name | Jam Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3680 Grant Dr Ste F, Reno, Nevada |
| Authorized Official Name and Position | Julian Theodore Bernardo (PRACTICE MANAGER) |
| Authorized Official Contact | 7023026587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jam Healthcare Inc 3680 Grant Dr Ste F Reno NV 89509-5350 Ph: () - | Jam Healthcare Inc 3680 Grant Dr Ste F Reno NV 89509-5350 Ph: (702) 302-6587 |
| NPI Number | 1942894993 |
|---|---|
| Provider Enumeration Date | 02/21/2021 |
| Last Update Date | 02/21/2021 |
| Medicare PECOS PAC ID | 9739597543 |
|---|---|
| Medicare Enrollment ID | O20210722002856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942894993 | NPI | - | NPPES |
| Provider Name | Judith L Bernardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750603379 PECOS PAC ID: 6608907126 Enrollment ID: I20100628000720 |
| Provider Name | Stephen P Dubin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023311040 PECOS PAC ID: 2163405556 Enrollment ID: I20110519000372 |
| Provider Name | Marilou Abellana Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528307659 PECOS PAC ID: 2961644901 Enrollment ID: I20130805000276 |
| Provider Name | Virgilio I Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881935039 PECOS PAC ID: 6800038712 Enrollment ID: I20130806000148 |
| Provider Name | Mario O Godoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275822611 PECOS PAC ID: 6103141874 Enrollment ID: I20150223000016 |
| Provider Name | Mariliza Ilagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114316320 PECOS PAC ID: 1254636970 Enrollment ID: I20170616001406 |
| Provider Name | Ruel L Mariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114481785 PECOS PAC ID: 3476893504 Enrollment ID: I20190327001362 |
| Provider Name | Alma Felinor F Talavera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891396651 PECOS PAC ID: 6507259926 Enrollment ID: I20220208001224 |
| Provider Name | Ireneo Guiking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497328850 PECOS PAC ID: 3577738566 Enrollment ID: I20220208002046 |
| Provider Name | Milagros Micaela S Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295453835 PECOS PAC ID: 8921477084 Enrollment ID: I20221212002045 |
| Provider Name | Dwight D Generoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831812544 PECOS PAC ID: 1355713363 Enrollment ID: I20230220001713 |
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