| Jammie Peterson, | |
|
44709 Date Ave, Lancaster, CA 93534-3101 | |
| (661) 208-1951 | |
| Not Available |
| Full Name | Jammie Peterson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 44709 Date Ave, Lancaster, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518259605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 112450 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Jammie Peterson, 44709 Date Ave, Lancaster, CA 93534-3101 Ph: (661) 208-1951 | Jammie Peterson, 44709 Date Ave, Lancaster, CA 93534-3101 Ph: (661) 208-1951 |
Martin Patterson Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 44648 15th St W, Lancaster, CA 93534 Phone: 661-463-0501 | |
Charesse Del Shawndra Branch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3154 Darkwood St, Lancaster, CA 93536 Phone: 661-609-9147 | |
Mrs. Cynthia N Gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43520 Division St, Lancaster, CA 93535 Phone: 661-266-4783 Fax: 661-266-1210 | |
Mr. James Milton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43839 15th St W, High Desert Medical Group, Lancaster, CA 93534 Phone: 661-945-5984 Fax: 661-951-3192 | |
Kendall Marie Dillard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43520 Division St, Lancaster, CA 93535 Phone: 661-266-4783 Fax: 661-266-1210 | |
Janet Garcia, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1652 W Avenue J, Lancaster, CA 93534 Phone: 661-249-6859 | |
Satwonya Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44443 10th St W, Lancaster, CA 93534 Phone: 661-726-2630 |