Ethan Shakeel Jefferson, PA-C - Medicare Physician Assistant in Grass Valley, CA

Ethan Shakeel Jefferson, PA-C is a medicare enrolled "Family Medicine" physician in Grass Valley, California. He went to University Of California, Davis School Of Medicine and graduated in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. His current practice location is 280 Sierra College Dr Ste 207, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at (530) 477-7390.

Ethan Shakeel Jefferson is licensed to practice in California (license number 67370) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1275358806.

Contact Information

Ethan Shakeel Jefferson, PA-C
280 Sierra College Dr Ste 207,
Grass Valley, CA 95945-5769
(530) 477-7390
(530) 477-7389

Map and Direction




Physician's Profile

Full NameEthan Shakeel Jefferson
GenderMale
SpecialityPhysician Assistant
Experience1 Years
Location280 Sierra College Dr Ste 207, Grass Valley, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ethan Shakeel Jefferson attended and graduated from University Of California, Davis School Of Medicine in 2025
  NPI Data:
  • NPI Number: 1275358806
  • Provider Enumeration Date: 11/19/2024
  • Last Update Date: 12/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830679778
  • Enrollment ID: I20260218002328

Medical Identifiers

Medical identifiers for Ethan Shakeel Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275358806NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 67370 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oroville HospitalOroville, CAHospital
Sierra Nevada Memorial HospitalGrass valley, CAHospital

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. Ethan Shakeel Jefferson 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 AddressPractice Location Address
Ethan Shakeel Jefferson, PA-C
2725 I St Apt 2,
Sacramento, CA 95816-4367

Ph: (530) 615-1615
Ethan Shakeel Jefferson, PA-C
280 Sierra College Dr Ste 207,
Grass Valley, CA 95945-5769

Ph: (530) 477-7390

Reviews and Comments


Family Medicine Doctors in Grass Valley, CA

Marlowe Gates Dieckmann,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1350 E Main St, Grass Valley, CA 95945
Phone: 530-477-8545    
Alice E Shallcross, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10058 Wolf Rd, Grass Valley, CA 95949
Phone: 530-745-1500    
Karen L Milman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 Crown Point Cir, 110, Grass Valley, CA 95945
Phone: 530-265-1459    Fax: 530-265-0894
Dr. David Lee Kessler, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 307 S. Auburn St., Grass Valley, CA 95945
Phone: 530-273-2310    Fax: 530-273-2310
Dr. Garrett M. Eckerling, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Bank St Ste 256, Grass Valley, CA 95945
Phone: 530-277-5207    Fax: 530-432-3130
Daniel John Bibelheimer, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 900 E Main St, Suite 301, Grass Valley, CA 95945
Phone: 530-271-3200    Fax: 530-274-6367
Mrs. Neva Marie Monigatti Lake, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 300 Sierra College Dr, Ste 170, Grass Valley, CA 95945
Phone: 530-273-4376    Fax: 530-273-6426

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.