Mrs Sandy Annette Idle, | |
650 N State St, Hemet, CA 92543-2960 | |
(951) 791-3330 | |
Not Available |
Full Name | Mrs Sandy Annette Idle |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 650 N State St, Hemet, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124219068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 31847 (California) | Primary |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandy Annette Idle, 4929 Vailwood Dr, Hemet, CA 92544-7819 Ph: (951) 232-9688 | Mrs Sandy Annette Idle, 650 N State St, Hemet, CA 92543-2960 Ph: (951) 791-3330 |
John Phillip Biagianti, RRW Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N State St, Suite A, Hemet, CA 92543 Phone: 951-929-9838 Fax: 951-929-9831 | |
Lisa Jean Marie Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 E Florida Ave, Hemet, CA 92543 Phone: 951-391-1470 | |
Laura Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25873 Hemet St, Hemet, CA 92544 Phone: 951-927-2482 | |
Mr. Ignacio Saucedo Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 N State St, Hemet, CA 92543 Phone: 951-791-3300 Fax: 951-791-3333 | |
Mrs. Adriana Smith, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 E Florida Ave, Hemet, CA 92543 Phone: 951-439-2939 Fax: 951-439-2940 | |
Maria Zavala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 E Florida Ave, Hemet, CA 92543 Phone: 951-439-2939 | |
Christopher Lee Gay, RS Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 N State St Ste B, Hemet, CA 92543 Phone: 951-652-3560 |