Brandye Wilson-manigat, MD | |
351 Sw 9th St, Ontario, OR 97914-2639 | |
(541) 881-7184 | |
(541) 881-7016 |
Full Name | Brandye Wilson-manigat |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 351 Sw 9th St, Ontario, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639328412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A95658 (California) | Secondary |
207V00000X | Obstetrics & Gynecology | MD224037 (Oregon) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Ridgecrest Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
Entity Name | Obhg California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
Mailing Address | Practice Location Address |
---|---|
Brandye Wilson-manigat, MD 50 Alessandro Pl, Suite 310, Pasadena, CA 91105-3149 Ph: (626) 796-9114 | Brandye Wilson-manigat, MD 351 Sw 9th St, Ontario, OR 97914-2639 Ph: (541) 881-7184 |
Dr. Kenneth Leif Nathaniel Sjoren, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 | |
Dr. James T Roth, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1219 Sw 4th Ave Unit 2, Ontario, OR 97914 Phone: 801-261-3975 Fax: 801-262-9142 | |
Robert A Mairs, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 | |
Furm M Duncan Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Suite 2, Ontario, OR 97914 Phone: 541-889-2229 Fax: 541-889-4378 | |
William Barrett Stinger, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 |