| Circe Healthcare Solutions, Inc. | |
| 
					74000 Country Club Dr Ste G2 Palm Desert CA 92260-1679  | |
| (760) 773-4948 | |
| (844) 946-0546 | 
| Full Name | Circe Healthcare Solutions, Inc. | 
|---|---|
| Speciality | General Practice | 
| Location | 74000 Country Club Dr Ste G2, Palm Desert, California | 
| Authorized Official Name and Position | Edith Jones-poland (OWNER) | 
| Authorized Official Contact | 7604012502 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Circe Healthcare Solutions, Inc. 74000 Country Club Dr Ste G2 Palm Desert CA 92260-1679 Ph: () -  | Circe Healthcare Solutions, Inc. 74000 Country Club Dr Ste G2 Palm Desert CA 92260-1679 Ph: (760) 773-4948  | 
| NPI Number | 1174155386 | 
|---|---|
| Provider Enumeration Date | 02/05/2020 | 
| Last Update Date | 11/24/2020 | 
| Medicare PECOS PAC ID | 5890125975 | 
|---|---|
| Medicare Enrollment ID | O20200414002368 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174155386 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary | 
| Provider Name | Edith A Jones Poland | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1740283084 PECOS PAC ID: 2769377613 Enrollment ID: I20040218001150  | 
| Provider Name | Gabrielle Camille Schwilk | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992022453 PECOS PAC ID: 8921347022 Enrollment ID: I20191030000314  | 
| Provider Name | Raeanne Holder | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326774258 PECOS PAC ID: 0143694786 Enrollment ID: I20230321002333  | 
| Provider Name | Marie A Hampton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1194495440 PECOS PAC ID: 7214389246 Enrollment ID: I20240116001160  | 
| Provider Name | Kelly S Mcgill | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881462190 PECOS PAC ID: 4789037557 Enrollment ID: I20240129000572  | 
| Provider Name | Wayne R Carpenter | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053599464 PECOS PAC ID: 0143661777 Enrollment ID: I20240514003572  | 
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