| Mickey Michelle Fox, FNP-BC | |
|
12830 Hesperia Rd Ste A-d, Victorville, CA 92395-7788 | |
| (760) 684-8999 | |
| (760) 684-8111 |
| Full Name | Mickey Michelle Fox |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 12830 Hesperia Rd Ste A-d, Victorville, 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 |
|---|---|---|---|
| 1427886209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95031507 (California) | Primary |
| 163WM0705X | Registered Nurse - Medical-surgical | 95109643 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tobias Moeller-bertram Md Corporation | 1456586064 | 56 |
| Entity Name | Molina Healthcare of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
| 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 | Central Health Plan of California, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Mickey Michelle Fox, FNP-BC 12830 Hesperia Rd Ste A-d, Victorville, CA 92395-7788 Ph: (760) 684-8999 | Mickey Michelle Fox, FNP-BC 12830 Hesperia Rd Ste A-d, Victorville, CA 92395-7788 Ph: (760) 684-8999 |
Bukola Gross, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717 |
Jessica C Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393 |
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911 |
Krystle Ann Guzman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 |
Beth Ann Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12830 Hesperia Rd Ste A-d, Victorville, CA 92395 Phone: 760-684-8999 Fax: 760-684-8111 |
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383 |
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 |