| Aileen Burns, RN | |
|
3883 Hwy 299, Willow Creek, CA 95573 | |
| (530) 629-3111 | |
| (530) 629-3122 |
| Full Name | Aileen Burns |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3883 Hwy 299, Willow Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508115841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 822062 (California) | Secondary |
| 363A00000X | Physician Assistant | 54514 (California) | Primary |
| Entity Name | San Francisco Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134110661 PECOS PAC ID: 5698662518 Enrollment ID: O20040303001130 |
| Entity Name | Wahidullah Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093143356 PECOS PAC ID: 0345473062 Enrollment ID: O20140505001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Aileen Burns, RN 670 9th St, Arcata, CA 95521-6248 Ph: (707) 826-8633 | Aileen Burns, RN 3883 Hwy 299, Willow Creek, CA 95573 Ph: (530) 629-3111 |
Ms. Jane E Manning, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 38883 Hwy 299, Box 726, Willow Creek, CA 95573 Phone: 530-629-3111 Fax: 530-629-3122 |
Mr. William O. Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 38883 Hwy 299, Willow Creek, CA 95573 Phone: 530-629-3111 |