| David Ronald Boone, PA-C | |
|
1409 E Briggsmore Ave, Modesto, CA 95355-2707 | |
| (209) 550-4740 | |
| (209) 572-4579 |
| Full Name | David Ronald Boone |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1409 E Briggsmore Ave, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861895278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 51969 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| 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 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346615150 PECOS PAC ID: 9830094515 Enrollment ID: O20160311000780 |
| Mailing Address | Practice Location Address |
|---|---|
| David Ronald Boone, PA-C 10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | David Ronald Boone, PA-C 1409 E Briggsmore Ave, Modesto, CA 95355-2707 Ph: (209) 550-4740 |
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 |