| Rebecca Moldovan, FNP-C | |
|
6350 W Ramsey St, Banning, CA 92220-3062 | |
| (951) 490-4920 | |
| Not Available |
| Full Name | Rebecca Moldovan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6350 W Ramsey St, Banning, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942930201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95020912 (California) | Primary |
| Entity Name | Exer Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153 |
| Entity Name | Sun Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114588704 PECOS PAC ID: 8426388810 Enrollment ID: O20190927001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Moldovan, FNP-C 6350 W Ramsey St, Banning, CA 92220-3062 Ph: () - | Rebecca Moldovan, FNP-C 6350 W Ramsey St, Banning, CA 92220-3062 Ph: (951) 490-4920 |
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: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave Ste 1b, Banning, CA 92220 Phone: 951-769-7191 | |
Monemala Philavong-danh, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 | |
Laura A Macmanus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 951-845-6993 | |
Susan Jane Sheedy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-846-0313 | |
Kelly Marie Stormes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 | |
Donald Byron Beeler Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 909-864-1097 |