| Mr Michael Wayne Bettis, | |
|
850 E Foothill Blvd, Rialto, CA 92376-5230 | |
| (909) 580-2141 | |
| (909) 580-2866 |
| Full Name | Mr Michael Wayne Bettis |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 850 E Foothill Blvd, Rialto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275885113 | NPI | - | NPPES |
| 117278 | Other | CA | BBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 76826 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 117278 (California) | Primary |
| Entity Name | Soultenders Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Wayne Bettis, 4286 Stonebriar Cir, Corona, CA 92883-0671 Ph: (951) 415-9367 | Mr Michael Wayne Bettis, 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 580-2141 |
Rose Versace, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9475 Fax: 909-421-9392 | |
Mrs. Linda Josephine Hedges, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9470 Fax: 909-873-4461 | |
Mrs. Cheryl Placide, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9444 | |
Luisa Limon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E. Foothill Ave., Rialto, CA 92376 Phone: 909-421-9470 Fax: 909-421-9390 | |
Jeanine Jessica Gloria, AMFT, APCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1850 N Riverside Ave Ste 180, Rialto, CA 92376 Phone: 909-379-4406 Fax: 909-440-5138 | |
Annette Allen Jenkins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 229 S Riverside Ave, Suite M, Rialto, CA 92376 Phone: 909-873-8363 Fax: 909-873-5039 | |
Carla Francine Tilley-barker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9397 |