| Wyatt Ethan Knapp, NP | |
|
2176 Salk Ave Ste 200, Carlsbad, CA 92008-7346 | |
| (760) 827-7200 | |
| Not Available |
| Full Name | Wyatt Ethan Knapp |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2176 Salk Ave Ste 200, Carlsbad, 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 |
|---|---|---|---|
| 1447925615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95017985 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Ethan Knapp, NP 2176 Salk Ave Ste 200, Carlsbad, CA 92008-7346 Ph: (760) 827-7200 | Wyatt Ethan Knapp, NP 2176 Salk Ave Ste 200, Carlsbad, CA 92008-7346 Ph: (760) 827-7200 |
Athena Jo Dahlin Cross, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5439 Foxtail Loop, Carlsbad, CA 92010 Phone: 619-851-7056 |
Daniela Hijin Kim Shon, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 El Camino Real, Carlsbad, CA 92008 Phone: 760-729-8941 |
Ms. Doreesa Robinson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5838 Edison Pl, Carlsbad, CA 92008 Phone: 856-631-4545 |
Catherine R. O'neill-conover, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3445 Camino Alegre, Carlsbad, CA 92009 Phone: 760-942-2793 |
Lisa Bertotti, RN-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2605 Carlsbad Blvd, Carlsbad, CA 92008 Phone: 760-547-5215 Fax: 760-720-2349 |
Emaka Takashima, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5838 Edison Pl Ste 100, Carlsbad, CA 92008 Phone: 800-275-3243 |
Nicole O'donnell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7740 Rancho Santa Fe Rd, Carlsbad, CA 92009 Phone: 858-457-4480 |