| Hailey Renee Cougher, | |
|
5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | |
| (619) 740-6000 | |
| Not Available |
| Full Name | Hailey Renee Cougher |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 5555 Grossmont Center Dr, La Mesa, 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 |
|---|---|---|---|
| 1942874052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61433 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grossmont Hospital | La mesa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinic Services Of California Medical Group Inc | 7810209715 | 65 |
| Entity Name | San Francisco Physicians International Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841220720 PECOS PAC ID: 5597679225 Enrollment ID: O20031117000934 |
| Entity Name | Pacific Redwood Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033103676 PECOS PAC ID: 5496652703 Enrollment ID: O20031215000997 |
| Entity Name | Clinic Services of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
| Entity Name | Team Physicians of Northern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Hailey Renee Cougher, 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (858) 554-7439 | Hailey Renee Cougher, 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-6000 |
Mrs. Amy Elizabeth Vu, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 |
Julia A. Caputo, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2706 |
Dana Ashli Derissi, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4071 |
Jasveen Dhillon, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4561 Dickey Dr, La Mesa, CA 91941 Phone: 619-328-3025 |
Joelle Nicole Negley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr, Suite 505, La Mesa, CA 91942 Phone: 619-461-3880 Fax: 619-461-3895 |
Michael Otte, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6136 Lake Murray Blvd, La Mesa, CA 91942 Phone: 714-389-5700 |
Brittany Slaughter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4401 |