| Maxine Millicent King, NP-C | |
|
700 River Dr, Fort Bragg, CA 95437-5403 | |
| (707) 961-4922 | |
| (707) 961-4921 |
| Full Name | Maxine Millicent King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 700 River Dr, Fort Bragg, 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 |
|---|---|---|---|
| 1649783754 | NPI | - | NPPES |
| APRN002718 | Other | NV | STATE LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Mendocino Coast | 3678990769 | 48 |
| Entity Name | Adventist Health Mendocino Coast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxine Millicent King, NP-C 700 River Dr, Fort Bragg, CA 95437-5403 Ph: (707) 961-4922 | Maxine Millicent King, NP-C 700 River Dr, Fort Bragg, CA 95437-5403 Ph: (707) 961-4922 |
Sasha Graham, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-964-7241 Fax: 707-964-1192 | |
Ms. Ann Kathleen Jamgochian, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 | |
Mrs. Michele Marie Tellier, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Ms. Susan Jean Klarquist, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Linnea Marie Matthews, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Miss Joanne Louise Patterson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 | |
Suzanne H. Hewitt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 River Dr., Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-961-4631 |