| Kimala Moseby-fowler, AG-ACNP | |
|
2500 Grant Rd, Mountain View, CA 94040-4302 | |
| (650) 940-7000 | |
| Not Available |
| Full Name | Kimala Moseby-fowler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2500 Grant Rd, Mountain View, 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 |
|---|---|---|---|
| 1194205823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 24640 (Tennessee) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | NP95032658 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| El Camino Hospital | Mountain view, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Healthcare Community Care Associates | 0941113757 | 29 |
| Anova Medical Associates, Plc | 8325372741 | 123 |
| Methodist Healthcare Community Care Associates | 0941113757 | 29 |
| Quantum Bay Area Hospitalist Medical Group Inc | 0648573378 | 55 |
| Entity Name | Methodist Healthcare Community Care Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194839241 PECOS PAC ID: 0941113757 Enrollment ID: O20031107000488 |
| Entity Name | Methodist Inpatient Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609850692 PECOS PAC ID: 1254241235 Enrollment ID: O20050815000700 |
| Entity Name | Anova Medical Associates, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659849537 PECOS PAC ID: 8325372741 Enrollment ID: O20190618003690 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimala Moseby-fowler, AG-ACNP Po Box 1000, Dept 351, Memphis, TN 38148-0001 Ph: (901) 758-9900 | Kimala Moseby-fowler, AG-ACNP 2500 Grant Rd, Mountain View, CA 94040-4302 Ph: (650) 940-7000 |
Michael A San Juan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Grant Rd, Mountain View, CA 94040 Phone: 805-827-2869 | |
Tricia Benjamin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7800 | |
Stella Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 N Rengstorff Ave, Mountain View, CA 94043 Phone: 800-972-5547 | |
Caitlin Pham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7150 | |
Ms. Susan Ann Tenney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 San Antonio Rd, Mountain View, CA 94040 Phone: 650-948-0807 | |
Shelley Gallivan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1503 Grant Rd Ste 110, Mountain View, CA 94040 Phone: 650-484-1213 | |
Jamie M. Nho, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Joaquin Rd, Mountain View, CA 94043 Phone: 510-402-8829 |