| Jessica Gonzales, | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (916) 561-7491 | |
| Not Available |
| Full Name | Jessica Gonzales |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720624356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95026255 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Paducah | Paducah, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
| Entity Name | Pain Management Centers Of America Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20190205002506 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Gonzales, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (916) 561-7491 | Jessica Gonzales, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (916) 561-7491 |
Yardana Gill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357 | |
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894 | |
Zlatoslava Karga, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311 | |
Miss Roshani Subedi, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5447 | |
Mr. Laban Kipkurui Tabartet, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Mr. Robert Mike Heil, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-432-8532 |