Monterey Womens Health Medical Group Inc | |
889 Pacific Street Monterey CA 93940 | |
(831) 649-0175 | |
(831) 646-0220 |
Full Name | Monterey Womens Health Medical Group Inc |
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Speciality | General Practice |
Location | 889 Pacific Street, Monterey, California |
Authorized Official Name and Position | Tricia Ellis Markusen (PRESIDENT) |
Authorized Official Contact | 8316490175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monterey Womens Health Medical Group Inc Po Box 1430 Monterey CA 93942-1430 Ph: (831) 649-0175 | Monterey Womens Health Medical Group Inc 889 Pacific Street Monterey CA 93940 Ph: (831) 649-0175 |
NPI Number | 1144390956 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 12/13/2018 |
Medicare PECOS PAC ID | 2668558024 |
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Medicare Enrollment ID | O20080325000692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144390956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A64635 (California) | Primary |
Provider Name | Tricia E Markusen |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912908955 PECOS PAC ID: 4385720747 Enrollment ID: I20080325000698 |
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