Dr Kimberley E Fillmore, MD | |
999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | |
(209) 334-4924 | |
(209) 334-0127 |
Full Name | Dr Kimberley E Fillmore |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 999 S Fairmont Ave, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588736508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G74184 (California) | Primary |
Entity Name | Health And Life Organization, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740336734 PECOS PAC ID: 1153361886 Enrollment ID: O20110308000291 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberley E Fillmore, MD 4143 Canopy Court, Merced, CA 95340 Ph: (925) 676-3450 | Dr Kimberley E Fillmore, MD 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 Ph: (209) 334-4924 |
Manjeet K Bryson, NP RN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 999 South Fairmont Ste 225, P Gill Obstetrics & Gynecology Medical Grp Inc, Lodi, CA 95240 Phone: 209-334-3343 Fax: 209-334-1430 | |
Philip A Dodd, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641 | |
Robert Glenn Howen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 Phone: 209-334-3333 | |
Leslie D Sackschewsky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641 | |
Carol Lynn Nakashima, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641 | |
Dr. Peter Kyung-sun Yang, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1103 Rivergate Dr, Lodi, CA 95240 Phone: 209-334-6593 |