| Elisa R Martinez, PA | |
|
2101 Tenaya Dr, Modesto, CA 95354-3930 | |
| (209) 576-6766 | |
| (209) 576-6776 |
| Full Name | Elisa R Martinez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2101 Tenaya Dr, 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 |
|---|---|---|---|
| 1720061716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA12678 (California) | Primary |
| Entity Name | Family First Medical Care a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689066029 PECOS PAC ID: 8022338854 Enrollment ID: O20150519002006 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa R Martinez, PA 737 W Childs Ave, Merced, CA 95340-6805 Ph: (209) 383-1848 | Elisa R Martinez, PA 2101 Tenaya Dr, Modesto, CA 95354-3930 Ph: (209) 576-6766 |
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 |