| Craig F Callam, APRN, FNP-BC | |
|
11555 1/2 Potrero Rd, Banning, CA 92220-6946 | |
| (951) 849-4761 | |
| (951) 849-4651 |
| Full Name | Craig F Callam |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 11555 1/2 Potrero Rd, Banning, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538799747 | NPI | - | NPPES |
| Entity Name | Crew Community Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093356842 PECOS PAC ID: 4587054614 Enrollment ID: O20211206000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig F Callam, APRN, FNP-BC 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 Ph: (909) 864-1097 | Craig F Callam, APRN, FNP-BC 11555 1/2 Potrero Rd, Banning, CA 92220-6946 Ph: (951) 849-4761 |
Mrs. Marie Antoinette Tanare Lucco, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 760-413-3755 | |
Kevin Simmons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave Ste 1b, Banning, CA 92220 Phone: 951-769-7191 | |
Monemala Philavong-danh, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 | |
Laura A Macmanus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 951-845-6993 | |
Susan Jane Sheedy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-846-0313 | |
Kelly Marie Stormes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 | |
Donald Byron Beeler Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 909-864-1097 |