| Jaclyn Henning, NP | |
|
901 Campus Dr Ste 111, Daly City, CA 94015-4930 | |
| (650) 575-7351 | |
| Not Available |
| Full Name | Jaclyn Henning |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 901 Campus Dr Ste 111, Daly 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 |
|---|---|---|---|
| 1588347892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95025904 (California) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Henning, NP 901 Campus Dr Ste 111, Daly City, CA 94015-4930 Ph: () - | Jaclyn Henning, NP 901 Campus Dr Ste 111, Daly City, CA 94015-4930 Ph: (650) 575-7351 |
Lisa Lam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8500 | |
Dr. Ruth Elaine Hoddinott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 Sullivan Ave Rm 606, Daly City, CA 94015 Phone: 650-301-0500 Fax: 650-994-2716 | |
Bernard Roazen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, #150, Daly City, CA 94015 Phone: 650-994-2300 Fax: 650-992-0122 | |
Cheng Hui Stephanie Shao, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 93 Skyline Plz, Daly City, CA 94015 Phone: 650-991-8883 | |
Chung-kuang Lin, Family Medicine Medicare: Medicare Enrolled Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 | |
Elisa Frances Raquidan Nasol, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 90th St, Daly City, CA 94015 Phone: 650-301-8600 | |
Nirmal Kharel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-301-5860 |