Cottage Clinical Network, Llc - Medicare Primary Care in Santa Barbara, CA

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Cottage Clinical Network, Llc is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Santa Barbara, California. The current practice location for Cottage Clinical Network, Llc is 400 W Pueblo St, Santa Barbara, California. For appointments, you can reach them via phone at (805) 324-9936. The mailing address for Cottage Clinical Network, Llc is Po Box 689, Santa Barbara, California and phone number is (805) 324-9936.

Cottage Clinical Network, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588209357. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (805) 324-9936.

Contact Information

Cottage Clinical Network, Llc
400 W Pueblo St
Santa Barbara
CA 93105-4353
(805) 324-9936
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCottage Clinical Network, Llc
SpecialityClinic/Center
Location400 W Pueblo St, Santa Barbara, California
Authorized Official Name and PositionLisa M Moore (EXECUTIVE VICE PRESIDENT & COO)
Authorized Official Contact8055697401
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cottage Clinical Network, Llc
Po Box 689
Santa Barbara
CA 93102-0689

Ph: (805) 324-9936		Cottage Clinical Network, Llc
400 W Pueblo St
Santa Barbara
CA 93105-4353

Ph: (805) 324-9936

NPI Details:

NPI Number1588209357
Provider Enumeration Date11/15/2019
Last Update Date09/19/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1850712530
Medicare Enrollment IDO20200604001981

Medical Identifiers

Medical identifiers for Cottage Clinical Network, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588209357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cottage Clinical Network, Llc acts as a billing entity for following providers:
Provider NameJane M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033107891
PECOS PAC ID: 8820002751
Enrollment ID: I20060131000484
Provider NameAaron C Mccolpin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447236336
PECOS PAC ID: 9335292036
Enrollment ID: I20090728000635
Provider NameAnn Marie Carvajal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871809590
PECOS PAC ID: 3577756568
Enrollment ID: I20101022000467
Provider NameMelody C Grimmett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568592574
PECOS PAC ID: 8022274919
Enrollment ID: I20120720000497
Provider NameMarya M Bolyanatz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164415501
PECOS PAC ID: 6709022353
Enrollment ID: I20130426000281
Provider NameBrandon J Boesch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457663221
PECOS PAC ID: 9931341450
Enrollment ID: I20130813000808
Provider NameDianna L Lange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245666981
PECOS PAC ID: 0244468262
Enrollment ID: I20140118000406
Provider NameKathryn A Frye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215365002
PECOS PAC ID: 2264663889
Enrollment ID: I20140325001244
Provider NameAshley Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104258268
PECOS PAC ID: 6800011529
Enrollment ID: I20140711002058
Provider NameLiesl A Arteaga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891957783
PECOS PAC ID: 9638243645
Enrollment ID: I20141009001448
Provider NameAmy Mcconnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477942480
PECOS PAC ID: 7214244136
Enrollment ID: I20150909002801
Provider NameAmy Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609246651
PECOS PAC ID: 2466750542
Enrollment ID: I20160406002225
Provider NameAlicia M Schroeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639627730
PECOS PAC ID: 8426337379
Enrollment ID: I20161116001574
Provider NameKendra Joelle James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316323447
PECOS PAC ID: 1658664800
Enrollment ID: I20180612002589
Provider NameBrandon O Moritz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265911341
PECOS PAC ID: 4880933316
Enrollment ID: I20190228001538
Provider NameMegan Fox Horn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346702503
PECOS PAC ID: 7810221603
Enrollment ID: I20190627002906
Provider NameTabitha Elise Abraham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811558042
PECOS PAC ID: 8325469893
Enrollment ID: I20200609002375
Provider NameAshley Suzanne Archer Vose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174080238
PECOS PAC ID: 1052731858
Enrollment ID: I20201016000861
Provider NameSharon Romulo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376957282
PECOS PAC ID: 8325264336
Enrollment ID: I20210413002398
Provider NameArete Arredondo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669994406
PECOS PAC ID: 3577835065
Enrollment ID: I20210603002060
Provider NameKerry L Bayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275927923
PECOS PAC ID: 1153632757
Enrollment ID: I20210719000571
Provider NameSteffany Quinn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154979854
PECOS PAC ID: 9931502630
Enrollment ID: I20210719001910
Provider NameClaudia Martial
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144776436
PECOS PAC ID: 2264720200
Enrollment ID: I20210729001240
Provider NameJoseph Robillard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831767979
PECOS PAC ID: 1052715026
Enrollment ID: I20211217001783
Provider NameCedar Marin Grice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437824836
PECOS PAC ID: 5092108647
Enrollment ID: I20220203001919
Provider NameJason J Rusoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427413913
PECOS PAC ID: 9830491844
Enrollment ID: I20220428000818
Provider NameMichelle Leigh Silva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487104758
PECOS PAC ID: 1658751995
Enrollment ID: I20220705002454
Provider NameHayley Elizabeth Wise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912622622
PECOS PAC ID: 7113394156
Enrollment ID: I20221104001191
Provider NameJayson Wright
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043849607
PECOS PAC ID: 2365807849
Enrollment ID: I20230505001917
Provider NameArielle Simone Kanner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588281158
PECOS PAC ID: 2567829971
Enrollment ID: I20230530002792
Provider NameYana Davidovna Gristan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023635562
PECOS PAC ID: 6507226628
Enrollment ID: I20230720000821
Provider NameShannon Mary Irene Dickelman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558015180
PECOS PAC ID: 6406243427
Enrollment ID: I20250404003084

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.