| Mr Manton Scott Hurd, NP | |
|
298 Grand Ave Ste 101, Oakland, CA 94610-4895 | |
| (510) 550-5486 | |
| (510) 937-3619 |
| Full Name | Mr Manton Scott Hurd |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 298 Grand Ave Ste 101, Oakland, 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 |
|---|---|---|---|
| 1427372101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 836388 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95004842 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelong Medical Care | 2062304538 | 77 |
| Entity Name | Lifelong Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Manton Scott Hurd, NP 616 16th St, Oakland, CA 94612-1205 Ph: (510) 981-4100 | Mr Manton Scott Hurd, NP 298 Grand Ave Ste 101, Oakland, CA 94610-4895 Ph: (510) 550-5486 |
Emily Duane Lloyd, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437 | |
Erica Tringale, N.P, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3373 | |
Shelley Anne Bull, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885 | |
Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200 | |
Annie Roque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-4418 | |
Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Colleen Mccullough, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 International Blvd, Oakland, CA 94601 Phone: 510-535-4400 |