| Mrs Vanessa Michelle Wickham, NP, CNS | |
|
9850 Genesee Ave Ste 560, La Jolla, CA 92037-1229 | |
| (858) 552-1410 | |
| Not Available |
| Full Name | Mrs Vanessa Michelle Wickham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 9850 Genesee Ave Ste 560, La Jolla, 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 |
|---|---|---|---|
| 1720817018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | NP95030225 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elizabeth Hospice | Escondido, CA | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Cancer Associates For Research And Excellence Inc | 8022918937 | 63 |
| Entity Name | Elizabeth Supportive Medical Specialists A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154861979 PECOS PAC ID: 3971880055 Enrollment ID: O20170426002596 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Vanessa Michelle Wickham, NP, CNS 5241 Jamestown Rd, San Diego, CA 92117-1244 Ph: (714) 824-7838 | Mrs Vanessa Michelle Wickham, NP, CNS 9850 Genesee Ave Ste 560, La Jolla, CA 92037-1229 Ph: (858) 552-1410 |
Ms. Jumai Fathiya Dawuda, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10710 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7100 | |
Bonnie Susan Omeara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, La Jolla, CA 92093 Phone: 858-534-3300 | |
Yevheniya Khrobust, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, La Jolla, CA 92037 Phone: 858-554-9100 | |
Angela R Acfalle, NP CNS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Gilman Dr, # 0039, La Jolla, CA 92093 Phone: 858-534-2918 | |
Tania Marie Marek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3855 Health Sciences Dr, La Jolla, CA 92093 Phone: 800-926-8273 | |
Jessica Merchant, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave Ste 412, La Jolla, CA 92037 Phone: 858-457-8600 | |
Ms. Mary Susan Seaman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9834 Genesee Ave Ste 310, La Jolla, CA 92037 Phone: 858-457-8600 |