| Gavin Riley Sullivan, PA | |
|
344 E 6th St, Madera, CA 93638-3631 | |
| (559) 664-4000 | |
| (559) 675-5224 |
| Full Name | Gavin Riley Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 344 E 6th St, Madera, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427916667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA67816 (California) | Primary |
| Entity Name | Camarena Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891778114 PECOS PAC ID: 4880584317 Enrollment ID: O20040318000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Riley Sullivan, PA 344 E 6th St, Madera, CA 93638-3631 Ph: (559) 664-4000 | Gavin Riley Sullivan, PA 344 E 6th St, Madera, CA 93638-3631 Ph: (559) 664-4000 |
Douglas Tyler Howell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1250 E Almond Ave, Madera, CA 93637 Phone: 559-675-5555 |
Eliezer Alvarez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 E Almond Ave, Madera, CA 93637 Phone: 559-675-2990 |
Alexandria Sheree Romero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 Fax: 559-675-5224 |
Ramses Sanchez Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 |
Destinee Bowden, Physician Assistant Medicare: Medicare Enrolled Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 Fax: 559-675-5224 |
Robert Parker Sirrine, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Fe10, Madera, CA 93636 Phone: 559-353-5941 |
Mr. Stephen M Manigo-hedt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 South B Street, Camarena Health Center, Madera, CA 93638 Phone: 559-664-4004 |