| Maureen U Ezeigwe, | |
|
16177 Hesperian Blvd Ste C, San Lorenzo, CA 94580-2451 | |
| (707) 690-4098 | |
| Not Available |
| Full Name | Maureen U Ezeigwe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 16177 Hesperian Blvd Ste C, San Lorenzo, 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 |
|---|---|---|---|
| 1952161291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95029246 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memory Check Psychological Services, A Professional Corporation | 7416856422 | 69 |
| Entity Name | Memory Check Psychological Services, A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen U Ezeigwe, 16177 Hesperian Blvd Ste C, San Lorenzo, CA 94580-2451 Ph: () - | Maureen U Ezeigwe, 16177 Hesperian Blvd Ste C, San Lorenzo, CA 94580-2451 Ph: (707) 690-4098 |
Ms. Karen Gold, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 E. Lwewlling Blvd., San Lorenzo, CA 94580 Phone: 510-317-3167 Fax: 510-276-5483 | |
Andrea Banouvong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 927 Via Honda, San Lorenzo, CA 94580 Phone: 510-407-0749 | |
Elizabeth Gonzalez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 E Lewelling Blvd, San Lorenzo, CA 94580 Phone: 510-535-4000 | |
Ms. Develle Williams, APRN MSN FNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16177 Hesperian Blvd Ste C, San Lorenzo, CA 94580 Phone: 510-276-5558 Fax: 510-276-5646 |