| Brian Michael Thompson, PA-C | |
|
1441 Florida Avenue, Modesto, CA 95350 | |
| (209) 576-3609 | |
| Not Available |
| Full Name | Brian Michael Thompson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 1441 Florida Avenue, Modesto, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336187699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA14983 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinic Services Of California Medical Group Inc | 7810209715 | 65 |
| 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 | Woodland Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881868164 PECOS PAC ID: 8921176785 Enrollment ID: O20081007000014 |
| 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 |
|---|---|
| Brian Michael Thompson, PA-C 2100 Powell Street, Ste. 920, Emeryville, CA 94608-1803 Ph: (510) 350-2777 | Brian Michael Thompson, PA-C 1441 Florida Avenue, Modesto, CA 95350 Ph: (209) 576-3609 |
Melina Lanzar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Ms. Manpreet Kaur Sheabat, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355 Phone: 209-726-7381 |
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687 |
Penny Goumenidis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233 |
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779 |
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609 |