| Ivaylo Veselinov, | |
|
199 E Webster St, Colusa, CA 95932-0019 | |
| (530) 619-0800 | |
| Not Available |
| Full Name | Ivaylo Veselinov |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 199 E Webster St, Colusa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093554172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95028573 (California) | Primary |
| Entity Name | American Specialty Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568992923 PECOS PAC ID: 6103198460 Enrollment ID: O20170821003230 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivaylo Veselinov, 2005 N Rivington Way, Eagle, ID 83616-7484 Ph: (208) 717-5877 | Ivaylo Veselinov, 199 E Webster St, Colusa, CA 95932-0019 Ph: (530) 619-0800 |
Michael R Goodman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 173 E Webster St, Colusa, CA 95932 Phone: 530-458-8050 Fax: 530-458-5936 | |
Holly Lorenzen, MSN, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 4th St, Colusa, CA 95932 Phone: 707-732-8679 | |
Julian L Delgado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2967 Davison Ct., Suite A, Colusa, CA 95932 Phone: 530-458-8050 Fax: 530-458-5936 | |
Dr. Donald Edward Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 199 E Webster St, Colusa, CA 95932 Phone: 530-458-3283 Fax: 530-458-3215 | |
Dr. James Barrett Ii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3710 State Highway 45, Colusa, CA 95932 Phone: 530-458-5501 | |
Dr. Victor Lyapis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 199 E Webster St, Colusa, CA 95932 Phone: 530-458-3283 Fax: 530-458-3215 |