| Erin Stockman, | |
|
1969 Orange Tree Ln Ste B, Redlands, CA 92374-0114 | |
| (909) 882-3013 | |
| Not Available |
| Full Name | Erin Stockman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1969 Orange Tree Ln Ste B, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104218486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 52060 (California) | Primary |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Stockman, Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Erin Stockman, 1969 Orange Tree Ln Ste B, Redlands, CA 92374-0114 Ph: (909) 882-3013 |
Iryna Kinzer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 Terracina Blvd Ste 205c, Redlands, CA 92373 Phone: 909-793-2323 Fax: 909-793-2324 |
Andrew Tyler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-558-6856 |
Madison Tucker Zagurski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-792-2605 |
Dustin James Harn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 Campus Ave, Redlands, CA 92374 Phone: 951-768-4615 |
Andrew Vincent Rives, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 W Lugonia Ave Ste 120, Redlands, CA 92374 Phone: 909-557-1600 |
Donna Centeno, Physician Assistant Medicare: Medicare Enrolled Practice Location: 245 Terracina Blvd Ste 102, Redlands, CA 92373 Phone: 909-792-2605 |
Mr. Gerardo Arreguin, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 E Sunset Dr N, Redlands, CA 92373 Phone: 909-965-8965 |