| Dr Nanette M Mickiewicz, MD | |
|
1555 Soquel Dr, Santa Cruz, CA 95065-1705 | |
| (831) 462-7512 | |
| (415) 591-2446 |
| Full Name | Dr Nanette M Mickiewicz |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1555 Soquel Dr, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558319079 | NPI | - | NPPES |
| 00G646700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | G646700 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nanette M Mickiewicz, MD 700 Frederick St, Ste 203, Santa Cruz, CA 95062-2239 Ph: (831) 462-7512 | Dr Nanette M Mickiewicz, MD 1555 Soquel Dr, Santa Cruz, CA 95065-1705 Ph: (831) 462-7512 |
Nicole Sudduth, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 115 Locust St, Santa Cruz, CA 95060 Phone: 831-458-5670 | |
Timothy W Allari, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5610 | |
Brent Culver, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5577 | |
Rodrigo Nicolas Cordero-pangrazio, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Dr Ste D, Santa Cruz, CA 95065 Phone: 831-458-6925 | |
Holly B Moore, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5610 Fax: 831-423-6410 | |
Pritisheel Banga, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1595 Soquel Dr Ste 411, Santa Cruz, CA 95065 Phone: 831-475-8834 Fax: 831-462-2058 | |
Michael Alexander, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1669 Dominican Way, Santa Cruz, CA 95065 Phone: 831-475-2220 Fax: 831-475-2221 |