| Ryan Elizabeth Vaccarezza, NP | |
|
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
| (209) 334-3411 | |
| Not Available |
| Full Name | Ryan Elizabeth Vaccarezza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 975 S Fairmont Ave, Lodi, 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 |
|---|---|---|---|
| 1982037040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 23294 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Sutter Amador Hospital | Jackson, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Physicians Network | 3274580972 | 572 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Entity Name | Lodi Memorial Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
| Entity Name | Tareq A Ali Md Apc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588919716 PECOS PAC ID: 1658520689 Enrollment ID: O20121005000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Elizabeth Vaccarezza, NP 975 Fairmont Ave, Lodi, CA 95242 Ph: () - | Ryan Elizabeth Vaccarezza, NP 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 334-3411 |
Donna Marlane Bennett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 845 S Fairmont Ave, #8, Lodi, CA 95240 Phone: 209-339-7633 | |
Mrs. Kristina Fortes, FNP, MSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 | |
Ms. Isabel S. Romena, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 832 S Fairmont Ave, Lodi, CA 95240 Phone: 209-365-9331 | |
Bhupinder Kaur, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242 Phone: 408-309-8834 | |
Shizu Jennifer Kawai, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 Fax: 209-370-1737 | |
Mrs. Rosemary Ann Brixie, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Tasnim Masood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-2500 |