| Mariam Youssef, | |
|
115 Mall Dr, Hanford, CA 93230-5786 | |
| (559) 582-9000 | |
| Not Available |
| Full Name | Mariam Youssef |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 115 Mall Dr, Hanford, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861101198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95064077 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001903 (California) | Primary |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| Entity Name | San Joaquin Faculty Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Youssef, 4099 Foothill Rd Apt D, Santa Barbara, CA 93110-1286 Ph: () - | Mariam Youssef, 115 Mall Dr, Hanford, CA 93230-5786 Ph: (559) 582-9000 |
Shawn Harris, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 255 W Harold Griswold Way, Hanford, CA 93230 Phone: 559-381-5004 | |
Mrs. Michelle Marie Mertens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 559-582-9000 | |
Carl Eric Galeon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 559-582-9000 | |
Michael P O'hara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Greenfield Ave, Hanford, CA 93230 Phone: 559-582-9000 | |
Mr. Thomas Phillip Matula, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 450 Greenfield Avenue, Hanford, CA 93230 Phone: 559-582-9000 | |
Alexis Alfaro, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 480-280-0300 | |
Anissa Joan Gerber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Greenfield Avenue, Hanford, CA 93230 Phone: 559-582-9000 |