| Paul Arredondo, | |
|
940 E Williams St Ste 102, Banning, CA 92220-5848 | |
| (951) 588-2553 | |
| Not Available |
| Full Name | Paul Arredondo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 940 E Williams St Ste 102, Banning, 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 |
|---|---|---|---|
| 1326707589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95018072 (California) | Primary |
| 163W00000X | Registered Nurse | 95124536 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kevin Wethey Md A Professional Corporation | 5496298366 | 5 |
| Entity Name | Kevin Wethey MD a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609559921 PECOS PAC ID: 5496298366 Enrollment ID: O20240620000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Arredondo, 940 E Williams St Ste 102, Banning, CA 92220-5848 Ph: (951) 588-2553 | Paul Arredondo, 940 E Williams St Ste 102, Banning, CA 92220-5848 Ph: (951) 588-2553 |
Mrs. Marie Antoinette Tanare Lucco, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 760-413-3755 |
Kevin Simmons, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 264 N Highland Springs Ave Ste 1b, Banning, CA 92220 Phone: 951-769-7191 |
Amy Barber, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 W Ramsey St Bldg 2, Banning, CA 92220 Phone: 760-202-0686 |
Monemala Philavong-danh, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 |
Carri Ranie Lakes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Mary Joyce Espinoza, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Glen Wiley, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11555 Potrero Rd, Banning, CA 92220 Phone: 251-849-4761 |