Lillian Marie Khan, MSN RN FNP-C | |
1080 Monroe Street, #120, Albany, CA 94706 | |
(510) 214-3437 | |
Not Available |
Full Name | Lillian Marie Khan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1080 Monroe Street, Albany, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285391185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95257981 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95024504 (California) | Primary |
Entity Name | Carbon Health Medical Group Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
Mailing Address | Practice Location Address |
---|---|
Lillian Marie Khan, MSN RN FNP-C 275 41st St Apt 201, Oakland, CA 94611-5680 Ph: (510) 214-3437 | Lillian Marie Khan, MSN RN FNP-C 1080 Monroe Street, #120, Albany, CA 94706 Ph: (510) 214-3437 |
Mary Bunzel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861 | |
Margaret Kirkham, RN, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 | |
Michelle Frijas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 Kains Ave Ste 201, Albany, CA 94706 Phone: 510-853-6116 | |
Mary E. Wardlaw, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861 | |
Mr. Dewayne Lee Cecil, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1080 Monroe Ave, Suite 120, Albany, CA 94706 Phone: 510-439-9496 | |
Otis Perry Max Ingersoll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861 | |
Mr. Drew Ho, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 San Pablo Ave, Suite 300, Albany, CA 94706 Phone: 510-204-8130 |