| Braydon Bouwhuis, | |
|
207 N Butte St, Willows, CA 95988-2803 | |
| (530) 934-4641 | |
| Not Available |
| Full Name | Braydon Bouwhuis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 207 N Butte St, Willows, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265277503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA65247 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Butte Home Health And Hospice | Chico, CA | Home health agency |
| Glenn Medical Center | Willows, CA | Hospital |
| Enloe Health | Chico, CA | Hospital |
| Oroville Hospital | Oroville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Valley Indian Health Inc | 1557493723 | 35 |
| Entity Name | Northern Valley Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Braydon Bouwhuis, 207 N Butte St, Willows, CA 95988-2803 Ph: (530) 934-4641 | Braydon Bouwhuis, 207 N Butte St, Willows, CA 95988-2803 Ph: (530) 934-4641 |
Yessenia Gonzalez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 263 N Villa Ave, Willows, CA 95988 Phone: 530-934-8700 |
Michael Schmies, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4641 Fax: 530-934-4081 |
Vanessa Patrick, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 460 W Sycamore St, Willows, CA 95988 Phone: 530-934-3385 Fax: 530-934-3387 |
Michell Danforth Knight, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 460 W Sycamore St, Willows, CA 95988 Phone: 530-934-3385 Fax: 530-934-3387 |
Miss Sara Mellum, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 263 N Villa Ave, Willows, CA 95988 Phone: 530-934-8700 |
Jason Mower, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4642 |
Miss Linda Sue Trimble, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1133 W Sycamore St, Willows, CA 95988 Phone: 530-934-4681 Fax: 530-934-1991 |