| Miss Amanda Ann Birescik, | |
|
222 E Main St, Suite 117, Barstow, CA 92311-2361 | |
| (760) 255-2542 | |
| Not Available |
| Full Name | Miss Amanda Ann Birescik |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 13 Years |
| Location | 222 E Main St, Barstow, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366749624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 101324 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Mental Health and Nursing PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528693579 PECOS PAC ID: 5294151635 Enrollment ID: O20200817002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Amanda Ann Birescik, 9827 Victor Ave, Hesperia, CA 92345-2980 Ph: (760) 912-0653 | Miss Amanda Ann Birescik, 222 E Main St, Suite 117, Barstow, CA 92311-2361 Ph: (760) 255-2542 |
Belinda Taft, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St, Suite 117, Barstow, CA 92311 Phone: 760-255-1496 Fax: 760-255-2542 |
Allana Nicole Howard, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St Ste 117, Barstow, CA 92311 Phone: 760-255-1496 |
Lori Ward, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 309 E Mountain View St, Suite 100, Barstow, CA 92311 Phone: 760-256-0376 Fax: 760-266-0377 |
Tamika Massey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 309 E Mountain View St Ste 100, Barstow, CA 92311 Phone: 760-256-7279 Fax: 760-255-2105 |
Ms. Janis Kay Graybill, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St, Suite 117, Barstow, CA 92311 Phone: 760-255-1496 |
Lourdes Galeana, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St Ste 117, Barstow, CA 92311 Phone: 760-255-1496 |
Torria Deana Payton, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St Ste 117, Barstow, CA 92311 Phone: 760-255-1496 Fax: 760-255-2542 |