Vila Phoulavan, PA-C in Corte Madera, CA - Medicare Physician Assistant

Vila Phoulavan, PA-C is a medicare enrolled "Physician Assistant - Medical" in Corte Madera, California. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice City Health A Medical Corporation and his current practice location is 101 Casa Buena Dr, Corte Madera, California. You can reach out to his office (for appointments etc.) via phone at (415) 924-4525.

Vila Phoulavan is licensed to practice in California (license number 17855) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184705212.

Contact Information

	Vila Phoulavan, PA-C
	101 Casa Buena Dr, Corte Madera, CA 94925-1762
	(415) 924-4525
	Not Available

Map and Direction

Provider's Profile

Full Name	Vila Phoulavan
Gender	Male
Speciality	Physician Assistant
Experience	20 Years
Location	101 Casa Buena Dr, Corte Madera, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Vila Phoulavan graduated from nursing school in 2004

NPI Data:

NPI Number: 1184705212
Provider Enumeration Date: 10/17/2006
Last Update Date: 06/22/2022

Medicare PECOS Information:

PECOS PAC ID: 7113962523
Enrollment ID: I20050627000538

Medical Identifiers

Medical identifiers for Vila Phoulavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184705212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	17855 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
City Health A Medical Corporation	5890003024	8

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vila Phoulavan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vila Phoulavan, PA-C 6220 Fairlane Dr Unit B, Oakland, CA 94611-1810 Ph: (510) 735-1891	Vila Phoulavan, PA-C 101 Casa Buena Dr, Corte Madera, CA 94925-1762 Ph: (415) 924-4525

Reviews and Comments

Physician Assistant Nurses in Corte Madera, CA

Mrs. Anya Peysakhovich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Tamal Vista Blvd Ste 103, Corte Madera, CA 94925 Phone: 415-927-7660 Fax: 415-927-7663
Debra Beth Anziano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10 Paloma Dr, Corte Madera, CA 94925 Phone: 415-609-0015 Fax: 415-927-8145
Jan K Stottlemyer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Casa Buena Dr, Corte Madera, CA 94925 Phone: 561-635-0956
Leeanne Obilor, Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Tamal Plz Ste 200, Corte Madera, CA 94925 Phone: 415-925-6900

Vila Phoulavan, PA-C - Medicare Physician Assistant in Corte Madera, CA