| Benjamin Brown, | |
|
24511 W Jayne Ave, Coalinga, CA 93210 | |
| (559) 935-4300 | |
| Not Available |
| Full Name | Benjamin Brown |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 24511 W Jayne Ave, Coalinga, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174800171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 20910 (California) | Primary |
| 163W00000X | Registered Nurse | 724688 (California) | Secondary |
| Entity Name | Department of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Brown, 654 Lucille Ave, 103, Coalinga, CA 93210 Ph: Not Available | Benjamin Brown, 24511 W Jayne Ave, Coalinga, CA 93210 Ph: (559) 935-4300 |
Mr. Ronel Prophete, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Forest Ave Apt 129, Coalinga, CA 93210 Phone: 786-782-8896 |
Chinonso Kingsley Mba, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 244863 W Jayne Ave, Coalinga, CA 93210 Phone: 559-840-9511 |
Anthonia Ify Okpala, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24511 W. Jayne Ave., Coalinga State Hospital, Coalinga, CA 93210 Phone: 559-935-4300 |
Sabreena Mirza, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1165 Phelps Ave Ste 105, Coalinga, CA 93210 Phone: 559-821-6151 Fax: 559-935-4162 |
Rachel Pandiangan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 S 5th St Ste B, Coalinga, CA 93210 Phone: 559-935-4282 |
Fei Zhang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-934-3456 |
Mr. Michael James Vanhorn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-934-3945 |