| Caroline Theresa Urbanek, | |
|
604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | |
| (559) 320-0531 | |
| (559) 320-0539 |
| Full Name | Caroline Theresa Urbanek |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 604 N Magnolia Ave Ste 100, Clovis, 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 |
|---|---|---|---|
| 1134766868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 58002 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 58002 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New England Baptist Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New England Baptist Medical Associates, Inc. | 2365439783 | 77 |
| Entity Name | New England Baptist Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609854991 PECOS PAC ID: 2365439783 Enrollment ID: O20040428000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Theresa Urbanek, 2625 E Divisadero St, Fresno, CA 93721-1431 Ph: (559) 443-2682 | Caroline Theresa Urbanek, 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 Ph: (559) 320-0531 |
Antonieta Silvia Acosta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 362 N Clovis Ave Ste 102, Clovis, CA 93612 Phone: 559-327-2873 Fax: 877-301-1920 |
Mr. Victor O Gunn, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 |
Mrs. Jessica Rodriguez Ohanesian, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2755 Herndon Ave., Clovis, CA 93611 Phone: 559-324-4027 |
Mrs. Jennifer Kristin Nay, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 |
Jacqueline Gomez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 729 N Medical Center Dr W Ste 223, Clovis, CA 93611 Phone: 559-449-9990 |
Jonathan Crosby, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 Phone: 559-439-7631 |
Lindsay Rachel Brush, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 604 N Magnolia Ave Ste 100, Clovis, CA 93611 Phone: 559-320-0531 Fax: 559-320-0539 |