| Alexis Thompson, PA-C | |
|
15230 Lakeshore Dr, Clearlake, CA 95422-8107 | |
| (707) 995-4500 | |
| (707) 944-2401 |
| Full Name | Alexis Thompson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 15230 Lakeshore Dr, Clearlake, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588200463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA64741 (California) | Primary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Clearlake Hospital Inc. | 3072421197 | 84 |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Thompson, PA-C 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 | Alexis Thompson, PA-C 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 |
Putue Teh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545 |
Mr. Daniel Albert Lowery, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 |
Katarina Juhaszova, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 |
Thomas Pickett, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 14440 Olympic Dr, Clearlake, CA 95422 Phone: 707-533-8760 Fax: 707-461-5103 |
Savannah Saephan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090 |
Mr. Jeffrey W Meyers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 |
Tammy Ezinne Onu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401 |