| Edgar Ivan Mercado, PA-C | |
|
1350 O St Ste 202, Fresno, CA 93721-1828 | |
| (559) 369-4625 | |
| (559) 369-7259 |
| Full Name | Edgar Ivan Mercado |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1350 O St Ste 202, Fresno, 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 |
|---|---|---|---|
| 1194380253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA57015 (California) | Secondary |
| 363A00000X | Physician Assistant | (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Regional Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omni Family Health | 9234176363 | 93 |
| Kind Clinic Physician Assistant Owned Apc | 1850832510 | 3 |
| Entity Name | Omni Family Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700891660 PECOS PAC ID: 9234176363 Enrollment ID: O20050411000986 |
| Entity Name | Kind Clinic Physician Assistant Owned APC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982444659 PECOS PAC ID: 1850832510 Enrollment ID: O20240920002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Ivan Mercado, PA-C 1350 O St Ste 202, Fresno, CA 93721-1828 Ph: (559) 369-4625 | Edgar Ivan Mercado, PA-C 1350 O St Ste 202, Fresno, CA 93721-1828 Ph: (559) 369-4625 |
Whitney Ann Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 |
Ericson Mutsuo Hirose, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |
Nicholas Cico, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 |
Irene J Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720 Phone: 559-323-9236 Fax: 559-323-0294 |
William Joseph Johncox, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720 Phone: 559-432-6807 Fax: 559-432-6937 |
Rocio Patricia Naranjo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7471 N Fresno St, Fresno, CA 93720 Phone: 559-436-4500 Fax: 559-436-0500 |
Charlene Kim Dang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-3770 |