| Erin B Audrain, PA | |
|
6403 Coyle Ave Ste 170, Carmichael, CA 95608-0363 | |
| (916) 965-4000 | |
| (916) 965-4813 |
| Full Name | Erin B Audrain |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 6403 Coyle Ave Ste 170, Carmichael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598713943 | NPI | - | NPPES |
| 4292600001 | Other | CA | DME SUPPLIER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA19656 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin B Audrain, PA 6403 Coyle Ave Ste 170, Carmichael, CA 95608-0363 Ph: (916) 965-4000 | Erin B Audrain, PA 6403 Coyle Ave Ste 170, Carmichael, CA 95608-0363 Ph: (916) 965-4000 |
Monika Cieszynski, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3609 Mission Ave Ste A, Carmichael, CA 95608 Phone: 916-971-9000 Fax: 916-971-9010 |
Stefanie Nicole Troja, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 855-824-0270 |
Alexis Fruge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6555 Coyle Ave, Suite 235, Carmichael, CA 95608 Phone: 916-200-0087 |
Estefania Flores Velasco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6620 Coyle Ave Ste 303, Carmichael, CA 95608 Phone: 916-965-4000 |
Natalie Nicole Nagay, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 6501 Coyle Ave, Carmichael, CA 95608 Phone: 916-537-5000 |
Alyssa Mendoza, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5841 Jameson Ct Ste 2, Carmichael, CA 95608 Phone: 916-500-4989 |
Ilona Ozeruga, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6347 Coyle Ave, Carmichael, CA 95608 Phone: 916-967-4278 Fax: 916-967-0367 |