| Chantilay Ruffin, | |
|
50 Acacia Ave, Meadowlands 302, San Rafael, CA 94901-2230 | |
| (415) 482-3571 | |
| Not Available |
| Full Name | Chantilay Ruffin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 50 Acacia Ave, San Rafael, 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 |
|---|---|---|---|
| 1114488814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | PA57673 (California) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Chantilay Ruffin, 61 Bissell Way, Richmond, CA 94801-3101 Ph: (760) 686-0141 | Chantilay Ruffin, 50 Acacia Ave, Meadowlands 302, San Rafael, CA 94901-2230 Ph: (415) 482-3571 |
Miranda Minh-han Nguyen, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 415-492-3333 |
Miguel Serrato, ATC OT-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, San Rafael, CA 94901 Phone: 415-457-4440 |
Page Tenley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 H St, San Rafael, CA 94901 Phone: 415-459-4907 |
Phyllis Won, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Thi Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, San Rafael, CA 94901 Phone: 415-457-4440 |
Nicole M Newhauser, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Civic Center Dr Ste 209, San Rafael, CA 94903 Phone: 415-925-8963 |
Douglas Peter Davidson Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, San Rafael, CA 94901 Phone: 951-816-8970 |