| Mrs Rina B Vickery, NP | |
|
3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | |
| (909) 425-7679 | |
| (909) 425-6635 |
| Full Name | Mrs Rina B Vickery |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3102 E. Highland Avenue, Patton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427320951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 20301 (California) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rina B Vickery, NP 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 | Mrs Rina B Vickery, NP 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 |
Mrs. Catherine Johnson Scott, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-672-6555 | |
Javier Oscar Anda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7000 | |
Mrs. Joy Tuesday Ramas Engracia, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7000 | |
Mrs. Carise Elizabeth Charles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 East Highland Ave, Patton, CA 92369 Phone: 909-425-7844 Fax: 909-862-0718 | |
Nancy Ann Blacketer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 East Highland Ave, Patton, CA 92369 Phone: 909-425-7000 Fax: 909-425-7520 | |
Sharon Sardar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7000 |