| Jennifer Irvine, DO | |
|
685 Morro Ave Ste C, Morro Bay, CA 93442-2233 | |
| (805) 772-7313 | |
| (805) 772-0395 |
| Full Name | Jennifer Irvine |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 685 Morro Ave Ste C, Morro Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346879731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21259 (California) | Primary |
| Entity Name | Pacific Central Coast Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Irvine, DO 685 Morro Ave Ste C, Morro Bay, CA 93442-2233 Ph: (805) 772-7313 | Jennifer Irvine, DO 685 Morro Ave Ste C, Morro Bay, CA 93442-2233 Ph: (805) 772-7313 |
Dr. Patrick J Vaughan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 685 Morro Avenue, Suite C, Morro Bay, CA 93442 Phone: 805-772-7313 Fax: 805-772-0395 | |
Dr. Mark Alan Ward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Las Vegas St, Morro Bay, CA 93442 Phone: 805-772-7100 Fax: 805-772-7776 | |
Jason Adam Hull, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 685 Morro Ave Ste C, Morro Bay, CA 93442 Phone: 805-772-7313 Fax: 805-772-0395 |