| Hillary Shephard, | |
|
800 N State St, Ukiah, CA 95482-3410 | |
| (707) 467-2000 | |
| (707) 467-2018 |
| Full Name | Hillary Shephard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 800 N State St, Ukiah, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861872236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Hillary Shephard, 800 N State St, Ukiah, CA 95482-3410 Ph: (707) 467-2000 | Hillary Shephard, 800 N State St, Ukiah, CA 95482-3410 Ph: (707) 467-2000 |
Sage Mountainfire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 E Gobbi St, Ukiah, CA 95482 Phone: 707-463-3300 | |
Robert Thayne Hake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 S Dora St, Ukiah, CA 95482 Phone: 707-472-2627 | |
Karen Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 Talmage Rd, Ukiah, CA 95482 Phone: 707-462-4033 | |
Megan Elliott Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 776 S State St, Ukiah, CA 95482 Phone: 707-463-4915 | |
Ms. Shelly Kay Stephens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 E Gobbi St, Ukiah, CA 95482 Phone: 707-472-2922 | |
Mr. Keenan P Tyner, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 Old River Rd, Ukiah, CA 95482 Phone: 707-467-5181 | |
Bonnie Lockhart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 N State St, Ukiah, CA 95482 Phone: 707-462-7267 |