| Gavin Lenox, | |
|
300 Hillmont Ave, Ventura, CA 93003-1651 | |
| (805) 652-6000 | |
| Not Available |
| Full Name | Gavin Lenox |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 300 Hillmont Ave, Ventura, 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 |
|---|---|---|---|
| 1972271336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 63021 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cottage Clinical Network Llc | 1850712530 | 57 |
| Entity Name | Seaside Emergency Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639577802 PECOS PAC ID: 8527385061 Enrollment ID: O20150323001317 |
| Entity Name | Cottage Clinical Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588209357 PECOS PAC ID: 1850712530 Enrollment ID: O20200604001981 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Lenox, 300 Hillmont Ave, Ventura, CA 93003-1651 Ph: (805) 652-6000 | Gavin Lenox, 300 Hillmont Ave, Ventura, CA 93003-1651 Ph: (805) 652-6000 |
Aaron Goodenough, Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Brent St Ste 201, Ventura, CA 93003 Phone: 805-643-3330 |
Olivia Grace Granger-holland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Loma Vista Rd Ste 205, Ventura, CA 93003 Phone: 805-642-4830 |
Mr. Joseph Michael Diaz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10885 Telegraph Rd, Ventura, CA 93004 Phone: 805-647-7704 Fax: 833-916-2148 |
Mr. Jared Wong, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5011 |
Brian Martinez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Brent St Ste 301, Ventura, CA 93003 Phone: 805-653-0101 Fax: 805-641-0434 |
Miss Brianne Enegren, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5725 Ralston St Ste 101, Ventura, CA 93003 Phone: 805-658-2273 |
Gregory P Senning, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3525 Loma Vista Rd Ste A, Ventura, CA 93003 Phone: 805-804-4168 Fax: 805-830-1177 |