Ms Geraldine Rose Mccollum, ARNP | |
9680 Spencer Mountain Rd, S, Spring Valley, CA 91977-3436 | |
(619) 203-1654 | |
Not Available |
Full Name | Ms Geraldine Rose Mccollum |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 9680 Spencer Mountain Rd, Spring Valley, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154303477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 13044 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Somagen Healthcare Iii Inc | 8921225830 | 39 |
Entity Name | Family Health Centers Of San Diego, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Entity Name | Somagen Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396058137 PECOS PAC ID: 1557530151 Enrollment ID: O20110817000276 |
Entity Name | Somagen Healthcare Ii Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316225147 PECOS PAC ID: 4981877735 Enrollment ID: O20111024000461 |
Entity Name | Somagen Healthcare Iii Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558788620 PECOS PAC ID: 8921225830 Enrollment ID: O20140815001327 |
Mailing Address | Practice Location Address |
---|---|
Ms Geraldine Rose Mccollum, ARNP 9680 Spencer Mountain Rd, Spring Valley, CA 91977-3436 Ph: (619) 203-1654 | Ms Geraldine Rose Mccollum, ARNP 9680 Spencer Mountain Rd, S, Spring Valley, CA 91977-3436 Ph: (619) 203-1654 |
Rowena San Juan Dacanay-herman, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2457 Trace Rd, Spring Valley, CA 91978 Phone: 619-772-9466 |