| Justin Hayes, | |
|
119 Tuscany Ct, Hercules, CA 94547-2204 | |
| (925) 324-4687 | |
| Not Available |
| Full Name | Justin Hayes |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 119 Tuscany Ct, Hercules, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306216916 | 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 |
|---|---|
| Justin Hayes, 119 Tuscany Ct, Hercules, CA 94547-2204 Ph: (925) 324-4687 | Justin Hayes, 119 Tuscany Ct, Hercules, CA 94547-2204 Ph: (925) 324-4687 |
Florante Agbayani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Pepperwood St, Hercules, CA 94547 Phone: 650-452-3356 | |
Alexis Andrea Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Serra Ln, Hercules, CA 94547 Phone: 925-900-8193 | |
Phinnillipa Degruy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 Grenadine Way, Hercules, CA 94547 Phone: 510-799-1570 Fax: 510-799-1866 | |
Kevin Minh Tran-mortel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 Sycamore Ave Ste M-200, Hercules, CA 94547 Phone: 650-200-3579 | |
Leticia Marie Algere, Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Paradise Dr Apt 7, Hercules, CA 94547 Phone: 510-491-7455 | |
Erika Nelson, MS PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Refugio Valley Rd, Hercules, CA 94547 Phone: 510-231-1429 |