| Matthew Mercado, | |
|
12830 Hesperia Rd Ste Cd, Victorville, CA 92395-7788 | |
| (760) 684-8999 | |
| Not Available |
| Full Name | Matthew Mercado |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 12830 Hesperia Rd Ste Cd, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851701320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW122255 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Tobias Moeller-bertram Md Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Mercado, 12830 Hesperia Rd Ste Cd&e, Victorville, CA 92395-7788 Ph: () - | Matthew Mercado, 12830 Hesperia Rd Ste Cd, Victorville, CA 92395-7788 Ph: (760) 684-8999 |
Jessica Morales Sanchez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14598 Seventh St Ste B, Victorville, CA 92395 Phone: 909-825-7084 | |
Christopher Lee Fadness, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 107, Victorville, CA 92394 Phone: 760-955-9703 | |
Myra Dina Lopez, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15434 W Sage St, Victorville, CA 92392 Phone: 760-843-0506 Fax: 760-843-0507 | |
Mrs. Michelle Allen, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 205, Victorville, CA 92394 Phone: 760-217-3267 | |
Jacquelyn Renee Williams Brooks, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15497 W Sand St, Victorville, CA 92392 Phone: 760-875-5000 | |
Eric Bahra, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14390 Park Ave, Victorville, CA 92392 Phone: 714-290-3009 | |
Mr. Phillip George Tardanico, LCSW 69611 Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 15000 Seventh St Ste 209, Victorville, CA 92395 Phone: 760-217-9527 Fax: 442-267-5623 |