| Nextgen Wound Care Solutions West PC | |
|
10901 Woolwich Way Mather CA 95655-3007 | |
| (770) 876-9602 | |
| Not Available |
| Full Name | Nextgen Wound Care Solutions West PC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10901 Woolwich Way, Mather, California |
| Authorized Official Name and Position | Alyssa Johnston (OWNER) |
| Authorized Official Contact | 5306638031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nextgen Wound Care Solutions West PC 10901 Woolwich Way Mather CA 95655-3007 | Nextgen Wound Care Solutions West PC 10901 Woolwich Way Mather CA 95655-3007 Ph: (770) 876-9602 |
| NPI Number | 1063374858 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Medicare PECOS PAC ID | 5294213039 |
|---|---|
| Medicare Enrollment ID | O20260202002893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063374858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Primary |
| Provider Name | Heather Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447769286 PECOS PAC ID: 2961760426 Enrollment ID: I20171211002683 |
| Provider Name | Alyssa Virginia Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891281432 PECOS PAC ID: 6709213069 Enrollment ID: I20200625000751 |
Optimum Health Care Centet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4244 Mustic Way, Mather, CA 95655 Phone: 916-519-9462 |
VA Northern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-843-7000 |
Nextgen Wound Care Solutions Pacific Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Woolwich Way, Mather, CA 95655 Phone: 279-275-7050 |