| Mary Ann Reveles, | |
|
33 W Thousand Oaks Blvd Ste A-2, Thousand Oaks, CA 91360-4416 | |
| (805) 497-7888 | |
| (805) 494-3498 |
| Full Name | Mary Ann Reveles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 33 W Thousand Oaks Blvd Ste A-2, Thousand Oaks, 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 |
|---|---|---|---|
| 1164149621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95022758 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carbon Health Medical Group Of California Pc | 9032340047 | 264 |
| Entity Name | Los Robles Emergency Physicians Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Carbon Health Medical Group Of California Pc |
|---|---|
| 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 |
|---|---|
| Mary Ann Reveles, 33 W Thousand Oaks Blvd Ste A-2, Thousand Oaks, CA 91360-4416 Ph: (805) 497-7888 | Mary Ann Reveles, 33 W Thousand Oaks Blvd Ste A-2, Thousand Oaks, CA 91360-4416 Ph: (805) 497-7888 |
Mrs. Sara Houck, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 891 Emerson St, Thousand Oaks, CA 91362 Phone: 862-576-0051 | |
Mr. Steffan Matthew Weiner, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2594 Manchester Ct, Thousand Oaks, CA 91362 Phone: 530-219-6060 | |
Darlyn Grace Bano Lopez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 187 E Wilbur Rd Ste 101, Thousand Oaks, CA 91360 Phone: 805-328-7173 | |
Arianna Tang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 E Thousand Oaks Blvd, Thousand Oaks, CA 91360 Phone: 805-309-9797 | |
Ms. Robin Suzanne Hull, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2791 Agoura Rd, Thousand Oaks, CA 91361 Phone: 805-495-4938 | |
Anna Santos, RN, MSN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Rolling Oaks Dr Ste 201, Thousand Oaks, CA 91361 Phone: 805-413-9099 | |
Mrs. Tabitha Carnevale, RN, BSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 Rolling Oaks Dr Ste 106, Thousand Oaks, CA 91361 Phone: 805-494-4600 Fax: 805-222-1887 |