| Mr Wayne Carpenter, FNP | |
|
36101 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270 | |
| (760) 773-4948 | |
| Not Available |
| Full Name | Mr Wayne Carpenter |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 36101 Bob Hope Dr, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053599464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95029611 (California) | Primary |
| 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 | Carbon Health Medical Group Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
| Entity Name | Circe Healthcare Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174155386 PECOS PAC ID: 5890125975 Enrollment ID: O20200414002368 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wayne Carpenter, FNP 6351 Imperial Dr, Yucca Valley, CA 92284-2252 Ph: (619) 204-1315 | Mr Wayne Carpenter, FNP 36101 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270 Ph: (760) 773-4948 |
Ervin Xhufka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543 | |
Ms. Rosie Knauf, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 | |
Cynthia Jovanov, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1885 | |
Richard Pessagno, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8767 Fax: 760-837-8806 | |
Maria Florina Aleth D Mangosing Ignacio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, Rancho Mirage, CA 92270 Phone: 760-837-8535 | |
Dr. Leesa Simanton Booth, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Calle De Las Rosas, Rancho Mirage, CA 92270 Phone: 760-578-3601 |