| B Suzanne Mckell DO Inc | |
|
248 Main St Ste 110 Half Moon Bay CA 94019-7120 | |
| (650) 276-0170 | |
| (650) 440-4887 |
| Full Name | B Suzanne Mckell DO Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 248 Main St Ste 110, Half Moon Bay, California |
| Authorized Official Name and Position | Bernadette Suzanne Mckell (PRESIDENT) |
| Authorized Official Contact | 6502760170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B Suzanne Mckell DO Inc 248 Main St Ste 110 Half Moon Bay CA 94019-7120 Ph: (650) 276-0170 | B Suzanne Mckell DO Inc 248 Main St Ste 110 Half Moon Bay CA 94019-7120 Ph: (650) 276-0170 |
| NPI Number | 1467924068 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 0840537841 |
|---|---|
| Medicare Enrollment ID | O20190129003363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467924068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Bernadette Suzanne Mckell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710185053 PECOS PAC ID: 0648455196 Enrollment ID: I20131010000915 |
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