| Bart J Peterson, PA | |
|
3 Medical Plaza Dr Ste 140, Roseville, CA 95661-3088 | |
| (916) 865-1400 | |
| Not Available |
| Full Name | Bart J Peterson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3 Medical Plaza Dr Ste 140, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619150752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA723 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA21631 (California) | Primary |
| Entity Name | Temecula Valley Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407845092 PECOS PAC ID: 0345206405 Enrollment ID: O20041209000758 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Bart J Peterson, PA Po Box 255228, Sacramento, CA 95865-5228 Ph: Not Available | Bart J Peterson, PA 3 Medical Plaza Dr Ste 140, Roseville, CA 95661-3088 Ph: (916) 865-1400 |
Chelsea Marie Brekke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1528 Eureka Rd, Roseville, CA 95661 Phone: 916-772-5325 |
Dr. James Doran Wallace, P.A.,D.C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Lead Hill Blvd, Suite 600, Roseville, CA 95661 Phone: 916-765-3785 Fax: 916-361-9869 |
Becky Tran Ngo, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 |
Matthew Snarr, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 951 Reserve Dr Ste 100, Roseville, CA 95678 Phone: 916-800-0321 Fax: 916-975-9989 |
Mr. Michael Lee Mccoy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Drive, Suite 264, Roseville, CA 95661 Phone: 916-797-7555 |
Emily Joy Chalfant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1002 Down River Ct, Roseville, CA 95747 Phone: 916-749-5773 |
Jason Samuels, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr Ste 225, Roseville, CA 95661 Phone: 916-782-1291 Fax: 916-782-5992 |