| Micaela Birt, MS | |
|
1 Quality Dr, Vacaville, CA 95688-9494 | |
| (530) 219-1621 | |
| Not Available |
| Full Name | Micaela Birt |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1 Quality Dr, Vacaville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225488331 | 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 |
|---|---|
| Micaela Birt, MS 1 Quality Dr Dept Of, Vacaville, CA 95688-9494 Ph: () - | Micaela Birt, MS 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (530) 219-1621 |
Mrs. Phyllis Ann Dimmick, MASTERS OF ART PSYCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Auburn Way, Vacaville, CA 95688 Phone: 707-447-4668 | |
Ricardo Antonio Navarro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614 | |
Ms. Kristina Claudio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 | |
Ziyya Raeann Scruggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Alamo Dr Apt 187, Vacaville, CA 95687 Phone: 910-527-9625 | |
Tracy Lynn Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Nut Tree Rd, Vacaville, CA 95687 Phone: 707-451-9703 | |
Robin Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614 | |
George W. Mares, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 Fax: 707-447-3205 |