| Reginald Crisostomo, AGACNP-BC | |
|
1000 Trancas St, Napa, CA 94558-2906 | |
| (707) 252-4412 | |
| Not Available |
| Full Name | Reginald Crisostomo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1000 Trancas St, Napa, 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 |
|---|---|---|---|
| 1245809557 | NPI | - | NPPES |
| 0000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95017567 (California) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 95017567 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Queen Of The Valley Medical Center | Napa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulmonary Medicine Associates Medical Group Inc. | 4981506730 | 83 |
| Entity Name | Pulmonary Medicine Associates Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407880719 PECOS PAC ID: 4981506730 Enrollment ID: O20040122001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald Crisostomo, AGACNP-BC 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296 Ph: (916) 482-7623 | Reginald Crisostomo, AGACNP-BC 1000 Trancas St, Napa, CA 94558-2906 Ph: (707) 252-4412 |
Jorge Efrain Roman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1141 Pear Tree Ln, Suite 100, Napa, CA 94558 Phone: 707-254-1770 Fax: 707-251-2995 | |
Mrs. Bethany Lewis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1175 Trancas St, Napa, CA 94558 Phone: 707-258-6053 | |
Tamara Ann Dupuis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Trancas St Ste 270, Napa, CA 94558 Phone: 707-252-1076 Fax: 707-252-4764 | |
Sheila Anderson Cox, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2344 Old Sonoma Rd, Napa, CA 94559 Phone: 707-253-6081 | |
Margaret Lynn Mackey, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3010 Beard Rd, Napa, CA 94558 Phone: 707-257-1550 Fax: 707-819-9014 | |
Eugene Butler Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1621 W Imola Ave, Napa, CA 94559 Phone: 707-251-4280 | |
Janet M Bruneau, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Trancas St, Napa, CA 94558 Phone: 707-299-7637 |