| Kellie Jo Enderson, ARNP | |
|
27450 Ynez Rd, Temecula, CA 92591-4671 | |
| (951) 383-4333 | |
| (951) 506-2361 |
| Full Name | Kellie Jo Enderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 27450 Ynez Rd, Temecula, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316523459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A162928 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cass County Memorial Hospital | Atlantic, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cass County Memorial Hospital | 5294634994 | 65 |
| Entity Name | Cass County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681 |
| Entity Name | Community Health Center Of Fort Dodge Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083728 PECOS PAC ID: 1557378627 Enrollment ID: O20070104000109 |
| Entity Name | Curana Health Of Iowa Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730773714 PECOS PAC ID: 9133536113 Enrollment ID: O20210319000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Jo Enderson, ARNP 27450 Ynez Rd, Temecula, CA 92591-4671 Ph: (951) 383-4333 | Kellie Jo Enderson, ARNP 27450 Ynez Rd, Temecula, CA 92591-4671 Ph: (951) 383-4333 |
Dee M L'archeveque, MD General Practice Medicare: Medicare Enrolled Practice Location: 31843 Rancho California Rd, Suite B200, Temecula, CA 92591 Phone: 951-694-0400 Fax: 951-694-0441 | |
Robert K. Beck, MD General Practice Medicare: Medicare Enrolled Practice Location: 29738 Rancho California Rd Ste B, Temecula, CA 92591 Phone: 951-303-6440 Fax: 951-303-6449 | |
Dr. David W Schwartz, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 29645 Rancho California Rd, Ste 109, Temecula, CA 92591 Phone: 951-694-3626 Fax: 951-694-3627 |