Ashley M Forrest, | |
1466 Lincoln Ave., San Rafael, CA 94901-2021 | |
(415) 457-3755 | |
(415) 457-0849 |
Full Name | Ashley M Forrest |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1466 Lincoln Ave., San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255628426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ashley M Forrest, 1466 Lincoln Ave., San Rafael, CA 94901-2021 Ph: (415) 457-3755 | Ashley M Forrest, 1466 Lincoln Ave., San Rafael, CA 94901-2021 Ph: (415) 457-3755 |
Lisa Wynland Lukianoff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 | |
Sara Chambers, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr Ste 100, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 | |
Elizabeth Magid, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3230 Kerner Blvd, San Rafael, CA 94901 Phone: 415-473-6769 | |
Mr. Orlando Terrell Wiggins Sr., RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 D St, San Rafael, CA 94901 Phone: 415-492-4444 | |
Mr. Scott B. Raymer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Skyview Ter, San Rafael, CA 94903 Phone: 415-491-0708 | |
Mr. Daniel Alan Linder, MA, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 C St, San Rafael, CA 94901 Phone: 415-456-0802 | |
Ms. Anneli Kim Richards, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Carlos Dr, Bay Area Community Resources, San Rafael, CA 94903 Phone: 415-444-5580 Fax: 415-444-5598 |