| Emily Ann Vicioso, | |
|
299 12th St, Suite A, Marina, CA 93933-6003 | |
| (831) 647-7652 | |
| Not Available |
| Full Name | Emily Ann Vicioso |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 299 12th St, Marina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841418753 | NPI | - | NPPES |
| B7565610 | Other | CA | DRIVER'S LICENSE |
| 27BW8 | Other | CA | MEDI-CAL PRV NBR |
| 44CF | Other | CA | MEDI-CAL PRV NBR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | County Of Monterey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467584805 PECOS PAC ID: 2466345632 Enrollment ID: O20040913001243 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Ann Vicioso, 299 12th St, Suite A, Marina, CA 93933-6003 Ph: (831) 647-7652 | Emily Ann Vicioso, 299 12th St, Suite A, Marina, CA 93933-6003 Ph: (831) 647-7652 |
Ricardo Navarro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 Bayonet Cir, Marina, CA 93933 Phone: 831-384-7251 | |
Shantel Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 12th St Ste B, Marina, CA 93933 Phone: 831-883-3030 | |
Angel Velasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2982 Bayonet Ct, Marina, CA 93933 Phone: 831-883-5100 | |
Rogelio Ismael Santiago, Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 12th St Ste B, Marina, CA 93933 Phone: 831-883-3030 | |
Ms. Adrienne Sandoval Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 12th St, Marina, CA 93933 Phone: 831-883-3030 Fax: 831-883-3032 | |
Isamar Rodriguez Mendez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Bayonet Cir, Marina, CA 93933 Phone: 831-869-5358 | |
Amanda Marie Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 Bayonet Cir, Marina, CA 93933 Phone: 831-384-7251 |