Geraldine Ann Suliman, PA-C is a medicare enrolled "Physician Assistant" provider in Roseville, California. Her current practice location is
3001 Douglas Blvd Ste 325, Roseville, California. You can reach out to her office (for appointments etc.) via phone at
(916) 241-9844.
Geraldine Ann Suliman is licensed to practice in California (license number PA 13268) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528129186.
Healthcare Provider's Profile
| Full Name | Geraldine Ann Suliman |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 3001 Douglas Blvd Ste 325, Roseville, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528129186
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 01/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 1850552688
- Enrollment ID: I20120423000057
Medical Identifiers
Medical identifiers for Geraldine Ann Suliman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528129186 | NPI | - | NPPES |
| 1528129186 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 710511 (California) | Secondary |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 710511 (California) | Secondary |
| 363A00000X | Physician Assistant | PA 13268 (California) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA13268 (California) | Secondary |
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. Geraldine Ann Suliman 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 |
|---|
Geraldine Ann Suliman, PA-C
3001 Douglas Blvd Ste 325,
Roseville, CA 95661-4289
Ph: (916) 241-9844 | Geraldine Ann Suliman, PA-C
3001 Douglas Blvd Ste 325,
Roseville, CA 95661-4289
Ph: (916) 241-9844 |
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