| Jane Lee, MS, AGACNP-BC | |
|
11333 Sepulveda Blvd Fl 3, Mission Hills, CA 91345-1116 | |
| (818) 869-7268 | |
| (818) 869-7136 |
| Full Name | Jane Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 11333 Sepulveda Blvd Fl 3, Mission Hills, 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 |
|---|---|---|---|
| 1245741552 | NPI | - | NPPES |
| 95011632 | Other | CA | NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 95011632 (California) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 209.016568 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Facey Medical Foundation | 3173436276 | 288 |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Lee, MS, AGACNP-BC 11333 Sepulveda Blvd Fl 3, Mission Hills, CA 91345-1116 Ph: (818) 869-7268 | Jane Lee, MS, AGACNP-BC 11333 Sepulveda Blvd Fl 3, Mission Hills, CA 91345-1116 Ph: (818) 869-7268 |
Elizabeth Cattell, R.N., ACNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11550 Indian Hills Rd Ste 371, Mission Hills, CA 91345 Phone: 818-365-1194 | |
Marina Bourke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
Paulina Cos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 661-607-4982 | |
Ms. Deborah Mariko Tsunoda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 818-898-4465 Fax: 818-898-4316 | |
Maria Behrooj, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
Oscar A Diaz, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11133 N Sepulveda Blvd, Mission Hills, CA 91346 Phone: 818-837-5785 | |
Margaret E. Rivas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 |