| Maverick Medical Clinic | |
|
2317 17th St Bakersfield CA 93301-3503 | |
| (661) 213-9179 | |
| Not Available |
| Full Name | Maverick Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2317 17th St, Bakersfield, California |
| Authorized Official Name and Position | Terrance Mcgill (PRESIDENT) |
| Authorized Official Contact | 6612139179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Medical Clinic 2317 17th St Bakersfield CA 93301-3503 Ph: (661) 213-9179 | Maverick Medical Clinic 2317 17th St Bakersfield CA 93301-3503 Ph: (661) 213-9179 |
| NPI Number | 1699584300 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Medicare PECOS PAC ID | 5698286805 |
|---|---|
| Medicare Enrollment ID | O20250616001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699584300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Terrance a Mcgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093219305 PECOS PAC ID: 8628491503 Enrollment ID: I20210714002062 |
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