| Jacqueline Mckesey, | |
|
256 Landis Ave Ste 300, Chula Vista, CA 91910-2650 | |
| (619) 426-9600 | |
| (194) 264-1126 |
| Full Name | Jacqueline Mckesey |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 256 Landis Ave Ste 300, Chula Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811422801 | NPI | - | NPPES |
| Entity Name | South Bay Skin & Cancer Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033289574 PECOS PAC ID: 1153399258 Enrollment ID: O20040916001289 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Mckesey, 256 Landis Ave Ste 300, Chula Vista, CA 91910-2650 Ph: (619) 426-9600 | Jacqueline Mckesey, 256 Landis Ave Ste 300, Chula Vista, CA 91910-2650 Ph: (619) 426-9600 |
Dr. Erick Alfonso Mafong, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 319 F St, Ste 102, Chula Vista, CA 91910 Phone: 619-476-1200 Fax: 619-420-7849 | |
Dr. Nancy Cheng Maly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 619-397-3295 | |
Dr. Peter P Rullan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 256 Landis Ave, 3rd Floor, Chula Vista, CA 91910 Phone: 619-426-9600 Fax: 619-426-4112 | |
Maya Firsowicz, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 256 Landis Ave Ste 300, Chula Vista, CA 91910 Phone: 619-426-9600 | |
Dr. Mark Andrew Willoughby, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 319 F St, Ste 102, Chula Vista, CA 91910 Phone: 619-476-1200 Fax: 619-420-7849 | |
Jennifer Rullan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 256 Landis Ave, Suite 300, Chula Vista, CA 91910 Phone: 619-422-1233 Fax: 619-426-4112 | |
Eugene James Nowak, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2440 Fenton Street, Suite 101, Chula Vista, CA 91914 Phone: 619-420-1840 Fax: 619-420-9630 |