| Arianna Bush, | |
|
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
| (209) 334-3411 | |
| Not Available |
| Full Name | Arianna Bush |
|---|---|
| Gender | |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 975 S Fairmont Ave, Lodi, California |
| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043196603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Physicians Of California Medical Group Inc | 8224945084 | 92 |
| Entity Name | Team Physicians of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Clinic Services of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
| Mailing Address | Practice Location Address |
|---|---|
| Arianna Bush, 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: Not Available | Arianna Bush, 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 334-3411 |
Raylene Blandino, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 S Ham Ln Ste A, Lodi, CA 95242 Phone: 209-333-3376 |
Alejandra Rodriguez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1150 S Cherokee Ln, Lodi, CA 95240 Phone: 209-370-1700 Fax: 209-762-6808 |
Shuk Mei Chung, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 W Kettleman Ln, Lodi, CA 95242 Phone: 209-224-8512 |
Miss Olha K Quintero, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 815 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-1884 |
Dawnne Karsky, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-339-7435 Fax: 209-333-3054 |
Ms. Tamrah Miller Tenhaeff, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7575 |
Mrs. Amber Leigh Pujanauski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-3100 |