| Michael Quiceno, NP | |
|
81800 Doctor Carreon Blvd Ste B, Indio, CA 92201-5595 | |
| (760) 647-7676 | |
| (760) 347-0909 |
| Full Name | Michael Quiceno |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 81800 Doctor Carreon Blvd Ste B, Indio, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720545858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95011137 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95011137 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sokyahealth Medical Group Pc | 8628463015 | 180 |
| Tobias Moeller-bertram Md Corporation | 1456586064 | 56 |
| Entity Name | Desert Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
| 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 |
| Entity Name | Dap Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306464326 PECOS PAC ID: 6002989522 Enrollment ID: O20100608000193 |
| Entity Name | Tobias Moeller-bertram MD Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
| Entity Name | Cep America - Psychiatry PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538757232 PECOS PAC ID: 0244522159 Enrollment ID: O20160713002860 |
| Entity Name | Sokyahealth Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970330 PECOS PAC ID: 8628463015 Enrollment ID: O20220322001499 |
| Entity Name | Psychicure PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033088414 PECOS PAC ID: 2163909334 Enrollment ID: O20260119000703 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Quiceno, NP 81800 Doctor Carreon Blvd Ste B, Indio, CA 92201-5595 Ph: (760) 647-7676 | Michael Quiceno, NP 81800 Doctor Carreon Blvd Ste B, Indio, CA 92201-5595 Ph: (760) 647-7676 |
Mr. Steven Joseph Hernandez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81812 Doctor Carreon Blvd Ste E, Indio, CA 92201 Phone: 442-236-1498 Fax: 886-315-1508 |
Mc Michael Balsamo Chan, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 81555 Jfk Ct, Indio, CA 92201 Phone: 760-600-8093 |
Lizette Cerna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80495 Us Highway 111, Indio, CA 92201 Phone: 760-347-2887 Fax: 760-347-0776 |
Ms. He Lin, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 81555 Jfk Ct, Indio, CA 92201 Phone: 844-905-4643 |
Mr. Daniel Jay Gendron, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111 |
Ms. Sierra H Boettcher, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 81709 Dr Carreon Blvd Ste C3, Indio, CA 92201 Phone: 760-541-5888 Fax: 760-391-5159 |
Demetra Childs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 81555 Jfk Ct, Indio, CA 92201 Phone: 760-262-1017 Fax: 760-262-1017 |