Audrey N Reyes (NPI# 1215440656, PAC ID# 3577828417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1215440656 |
| PAC ID by PECOS | 3577828417 |
| Professional Enrollment ID | I20180719001421 |
| Full Name | Audrey N Reyes |
| Organization Legal Name | THE PRACTICE COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER PC |
| Address |
1000 Texas St Suite D Fairfield CA 94533-5700 |
| Phone Number | 7076399158 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4587929427 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1000 Texas St, Suite D, Fairfield, CA 94533-5700 | 7076399158 | THE PRACTICE COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER PC |
| Organization Legal Name | THE PRACTICE COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mara Stephanie Leon Sammartino | Clinical Social Worker | The Practice Counseling Services Licensed Clinical Social Worker PC | 1000 Texas St, Suite D, Fairfield, CA 94533-5700 |
| Jennifer M Lovelace | Clinical Social Worker | The Practice Counseling Services Licensed Clinical Social Worker PC | 1000 Texas St, Suite D, Fairfield, CA 94533-5700 |
| Street Address |
1000 TEXAS ST SUITE D |
| City | FAIRFIELD |
| State | CA |
| Zip | 94533-5700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mara Stephanie Leon Sammartino | Clinical Social Worker | The Practice Counseling Services Licensed Clinical Social Worker PC | 1000 Texas St, Suite D, Fairfield, CA 94533-5700 |
| Jennifer M Lovelace | Clinical Social Worker | The Practice Counseling Services Licensed Clinical Social Worker PC | 1000 Texas St, Suite D, Fairfield, CA 94533-5700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simon Chi Yan Chan | Internal Medicine | 2560 N Texas St, Suite C, Fairfield, CA 94533-1649 | |
| Anne An-ru Chen | Internal Medicine | 2560 N Texas St C, Fairfield, CA 94533-1649 | |
| William T Chen | Otolaryngology | 2801 Waterman Blvd, Suite 200, Fairfield, CA 94533-2987 | |
| Denise L Martin-sahim | Qualified Audiologist | 1620 Pennsylvania Ave, Suite D, Fairfield, CA 94533-3509 | |
| David R Gilliam | General Practice | 1620 Pennsylvania Ave C, Fairfield, CA 94533-3509 | |
| Seturam Pandurangi | Allergy/immunology | 1620 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3509 | |
| Kristin Woodbury | Otolaryngology | 1710 Pennsylvania St, Suite D, Fairfield, CA 94533-3549 | |
| Mark R Christensen | Optometry | 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3549 | |
| Murray A Woolf | Otolaryngology | 1710 Pennsylvania Ave D, Fairfield, CA 94533-3549 | |
| Ruth Ann Rassel | General Surgery | Northbay Healthcare Group | 1860 Pennsylvania Ave, Suite 200, Fairfield, CA 94533-3550 |
| Find all physicians in zip 94533 | |||
| City | FAIRFIELD |
| Zip Code | 94533 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FAIRFIELD + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.