| Kevin Simmons, | |
|
264 N Highland Springs Ave Ste 1b, Banning, CA 92220-3045 | |
| (951) 769-7191 | |
| Not Available |
| Full Name | Kevin Simmons |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 264 N Highland Springs Ave Ste 1b, Banning, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063195543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95025928 (California) | Primary |
| Entity Name | Grace Family Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033426028 PECOS PAC ID: 0749461531 Enrollment ID: O20110228000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Simmons, 264 N Highland Springs Ave Ste 1b, Banning, CA 92220-3045 Ph: Not Available | Kevin Simmons, 264 N Highland Springs Ave Ste 1b, Banning, CA 92220-3045 Ph: (951) 769-7191 |
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 |
Amy Barber, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 W Ramsey St Bldg 2, Banning, CA 92220 Phone: 760-202-0686 |
Monemala Philavong-danh, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 |
Carri Ranie Lakes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Mary Joyce Espinoza, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Glen Wiley, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11555 Potrero Rd, Banning, CA 92220 Phone: 251-849-4761 |
Ms. Yvonne Dejesus Enriquez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 S Highland Springs Ave, Banning, CA 92220 Phone: 951-797-6547 Fax: 951-769-0202 |