| Jennifer Alaine Kerecmanmartin, MSW | |
|
950 Shadow Rock Dr, Auburn, CA 95602-8446 | |
| (916) 398-0454 | |
| Not Available |
| Full Name | Jennifer Alaine Kerecmanmartin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 950 Shadow Rock Dr, Auburn, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265628770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 82517 (California) | 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 |
|---|---|
| Jennifer Alaine Kerecmanmartin, MSW 950 Shadow Rock Dr, Auburn, CA 95602-8446 Ph: (916) 398-0454 | Jennifer Alaine Kerecmanmartin, MSW 950 Shadow Rock Dr, Auburn, CA 95602-8446 Ph: (916) 398-0454 |
Ms. Claudia Ann Stone, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11533 C Ave, Auburn, CA 95603 Phone: 530-889-7254 Fax: 530-886-2992 | |
Michael Shawn Guisande, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11512 B Ave, Auburn, CA 95603 Phone: 530-889-7182 | |
Mr. Shaun William Tanner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12183 Locksley Ln Ste 100, Auburn, CA 95602 Phone: 360-723-8248 | |
Holly Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1275 High St, Auburn, CA 95603 Phone: 530-264-8804 | |
Mr. Steven D Korosec, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11716 Enterprise Dr, Auburn, CA 95603 Phone: 530-889-7674 Fax: 530-889-6891 | |
Mrs. Sharon Rachel Mallory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11716 Enterprise Dr, Auburn, CA 95603 Phone: 530-889-6700 | |
Canaan Sampson, RAS I Counselor Medicare: Not Enrolled in Medicare Practice Location: 11837 Kemper Rd, Auburn, CA 95603 Phone: 530-888-1010 |