| Eric T Lovato, PA | |
|
6109 W Ramsey St, Banning, CA 92220-3051 | |
| (909) 845-0313 | |
| (909) 796-4158 |
| Full Name | Eric T Lovato |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 6109 W Ramsey St, Banning, 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 |
|---|---|---|---|
| 1194763342 | NPI | - | NPPES |
| OPA161240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA16124 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden State Dermatology Associates, Inc. | 1052418175 | 118 |
| Entity Name | Gennady Rubinstein MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437329273 PECOS PAC ID: 6800846163 Enrollment ID: O20050125000899 |
| Entity Name | Golden State Dermatology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric T Lovato, PA Po Box 2200, Redlands, CA 92373-0722 Ph: (909) 793-3311 | Eric T Lovato, PA 6109 W Ramsey St, Banning, CA 92220-3051 Ph: (909) 845-0313 |
Ms. Yundell H Montalbo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 330 W Ramsey Street, Banning, CA 92220 Phone: 951-849-1950 Fax: 951-849-0080 |
Ms. Brianne Walters Nabet, MPA, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 N Highland Springs Ave, Banning, CA 92220 Phone: 951-845-1121 |
Sarah Chan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 N Highland Springs Ave, Banning, CA 92220 Phone: 951-845-1121 |
Mrs. Brandy Lee Delgado, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 43250 Midnight Ct, Banning, CA 92220 Phone: 951-922-1725 |
Mr. James A Mathey, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 Fax: 909-796-4158 |
Long Thanh Tran, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 Fax: 951-849-0080 |
Edward John Messmer, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 N Highland Springs Avenue, Banning, CA 92220 Phone: 951-845-1121 |