| Daniel W Tsegay, DNP, FNP-BC | |
|
600 Alfred Nobel Dr Ste A, Hercules, CA 94547-1834 | |
| (510) 984-1103 | |
| (888) 628-9895 |
| Full Name | Daniel W Tsegay |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 600 Alfred Nobel Dr Ste A, Hercules, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306344825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 804474 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95008837 (California) | Primary |
| Entity Name | Snf Specialists Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497265565 PECOS PAC ID: 3678849049 Enrollment ID: O20171030003464 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel W Tsegay, DNP, FNP-BC 525 Saratoga Ave Apt 3, Santa Clara, CA 95050-5638 Ph: (415) 747-0998 | Daniel W Tsegay, DNP, FNP-BC 600 Alfred Nobel Dr Ste A, Hercules, CA 94547-1834 Ph: (510) 984-1103 |
Dr. Ogochukwu Raphaela Nwosu, DNP, FNP-BC,PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Alfred Nobel Dr Ste A, Hercules, CA 94547 Phone: 510-984-1103 | |
Ann Bonner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Chinquapin Ct, Hercules, CA 94547 Phone: 707-738-1987 | |
Maria Theresa Madueno Malasan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 138 Eagle Ct, Hercules, CA 94547 Phone: 707-315-0710 | |
Boris Yakov Brand, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Alfred Nobel Dr Ste A, Hercules, CA 94547 Phone: 510-984-1103 Fax: 888-628-9895 |