| Kimberly Hancock, | |
|
35900 Bob Hope Dr, Rancho Mirage, CA 92270-1766 | |
| (760) 324-2800 | |
| Not Available |
| Full Name | Kimberly Hancock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 35900 Bob Hope Dr, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659776607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95001673 (California) | Primary |
| Entity Name | Eisenhower Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102 |
| Entity Name | Santa Ana Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592187 PECOS PAC ID: 9234455015 Enrollment ID: O20150313001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Hancock, 36100 Date Palm Dr, 127, Cathedral City, CA 92234-1501 Ph: () - | Kimberly Hancock, 35900 Bob Hope Dr, Rancho Mirage, CA 92270-1766 Ph: (760) 324-2800 |
Ervin Xhufka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543 | |
Ms. Rosie Knauf, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 | |
Cynthia Jovanov, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1885 | |
Richard Pessagno, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8767 Fax: 760-837-8806 | |
Maria Florina Aleth D Mangosing Ignacio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, Rancho Mirage, CA 92270 Phone: 760-837-8535 | |
Dr. Leesa Simanton Booth, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Calle De Las Rosas, Rancho Mirage, CA 92270 Phone: 760-578-3601 | |
Mr. Wayne Carpenter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36101 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270 Phone: 760-773-4948 |