| Gretchen Jane Andersen, PA- C | |
|
200 N Main St Fl 18, Los Angeles, CA 90012-4110 | |
| (213) 978-3800 | |
| Not Available |
| Full Name | Gretchen Jane Andersen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 200 N Main St Fl 18, Los Angeles, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346559440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 014249 (New York) | Secondary |
| 363A00000X | Physician Assistant | 22195 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1278 |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Stephen R Shea MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942239033 PECOS PAC ID: 7416854377 Enrollment ID: O20040422001706 |
| Entity Name | County of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358 |
| Entity Name | Southern California Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518588433 PECOS PAC ID: 4688097066 Enrollment ID: O20200701001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen Jane Andersen, PA- C 1336 Manhattan Beach Blvd, Manhattan Beach, CA 90266-5232 Ph: (818) 212-8881 | Gretchen Jane Andersen, PA- C 200 N Main St Fl 18, Los Angeles, CA 90012-4110 Ph: (213) 978-3800 |
Vadim Galperin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5059 York Blvd, Los Angeles, CA 90042 Phone: 323-344-4144 Fax: 323-344-4146 |
Mrs. Yulia Kustova, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 S San Pedro St Ste E, Los Angeles, CA 90011 Phone: 213-742-0300 |
Anoosheh Nikkar, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1300 N Vermont Ave, #1006, Los Angeles, CA 90027 Phone: 323-361-2169 |
Duy Dinh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8631 W 3rd St, 715e, Los Angeles, CA 90048 Phone: 310-278-8330 |
Ashton Rhodes Greenblatt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1445 N La Brea Ave, Los Angeles, CA 90028 Phone: 323-798-5158 |
Ara Ko, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-5908 |
Sean Jin Hyuk Lee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-2536 |