| Ms Mary Ellen Knopf, PMHNP | |
|
1012 Villa Ave, Belmont, CA 94002-1721 | |
| (650) 654-9727 | |
| Not Available |
| Full Name | Ms Mary Ellen Knopf |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1012 Villa Ave, Belmont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316184187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18552 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 18552 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Hyde Street Community Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033278940 PECOS PAC ID: 6204093875 Enrollment ID: O20120209000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Ellen Knopf, PMHNP 1012 Villa Ave, Belmont, CA 94002-1721 Ph: (650) 759-1836 | Ms Mary Ellen Knopf, PMHNP 1012 Villa Ave, Belmont, CA 94002-1721 Ph: (650) 654-9727 |
Jyesha Isis Wren, CNM, WHNP, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2721 Comstock Cir, Belmont, CA 94002 Phone: 831-713-6602 | |
Ms. Bertha Dolores Saucedo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Lyon Ave, Belmont, CA 94002 Phone: 605-301-4573 | |
Ms. Christina Thuy Tran, L. AC., F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Ralston Ave, Belmont, CA 94002 Phone: 415-822-9999 | |
Lynda Ann Mackin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd, Suite 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 | |
Ms. Patricia Mary Wieser, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1541 Harbor Blvd, Belmont, CA 94002 Phone: 650-595-2400 | |
Dr. Oksana Prodan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Shoreway Rd Ste 100, Belmont, CA 94002 Phone: 650-596-7000 Fax: 650-596-7093 |