Jaclyn Henning, NP | |
901 Campus Dr Ste 111, Daly City, CA 94015-4930 | |
(650) 575-7351 | |
Not Available |
Full Name | Jaclyn Henning |
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Gender | Female |
Speciality | Family Medicine |
Location | 901 Campus Dr Ste 111, Daly City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588347892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 95025904 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
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Jaclyn Henning, NP 901 Campus Dr Ste 111, Daly City, CA 94015-4930 Ph: () - | Jaclyn Henning, NP 901 Campus Dr Ste 111, Daly City, CA 94015-4930 Ph: (650) 575-7351 |
Lisa Lam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8500 | |
Dr. Ruth Elaine Hoddinott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 Sullivan Ave Rm 606, Daly City, CA 94015 Phone: 650-301-0500 Fax: 650-994-2716 | |
Bernard Roazen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, #150, Daly City, CA 94015 Phone: 650-994-2300 Fax: 650-992-0122 | |
Cheng Hui Stephanie Shao, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 93 Skyline Plz, Daly City, CA 94015 Phone: 650-991-8883 | |
Elisa Frances Raquidan Nasol, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 90th St, Daly City, CA 94015 Phone: 650-301-8600 | |
Nirmal Kharel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-301-5860 | |
Dr. Pedro Liwanag Cajator, MEDICAL DOCTOR Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Sullivan Ave, Rm 101, Daly City, CA 94015 Phone: 650-994-0459 Fax: 650-994-1450 |