| Hannah Parker, DO | |
|
550 E Washington Blvd Bldg Suite100, Crescent City, CA 95531-8160 | |
| (707) 465-6925 | |
| Not Available |
| Full Name | Hannah Parker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 550 E Washington Blvd Bldg Suite100, Crescent City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295231306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 20A19023 (California) | Primary |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Parker, DO 1275 8th St, Arcata, CA 95521-5770 Ph: () - | Hannah Parker, DO 550 E Washington Blvd Bldg Suite100, Crescent City, CA 95531-8160 Ph: (707) 465-6925 |
Susan Brallier, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715 Fax: 707-464-9593 | |
Anne Marie Duncan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Marshall St, Crescent City, CA 95531 Phone: 707-465-1126 Fax: 707-465-0937 | |
Richard Fulroth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 Fax: 707-465-6070 | |
Dr. Dominic Omar Ansari, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 800 E Washington Blvd, Crescent City, CA 95531 Phone: 707-464-8511 | |
Dr. Carla Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715 |