| Mary Kathryn Phillips, CNM | |
|
43911 Running Brook Cir, Temecula, CA 92592-5663 | |
| (760) 521-4596 | |
| Not Available |
| Full Name | Mary Kathryn Phillips |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 43911 Running Brook Cir, Temecula, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972583300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | R0046429 (Oklahoma) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Obhg California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kathryn Phillips, CNM 43911 Running Brook Cir, Temecula, CA 92592-5663 Ph: (760) 521-4596 | Mary Kathryn Phillips, CNM 43911 Running Brook Cir, Temecula, CA 92592-5663 Ph: (760) 521-4596 |
Candace Michelle Mooney, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 41715 Winchester Rd, Suite 204, Temecula, CA 92590 Phone: 951-719-1414 Fax: 951-719-3158 |