| Ingrid Stephanie Medina, PA-C | |
|
600 Coffee Rd, Modesto, CA 95355-4201 | |
| (818) 503-1233 | |
| Not Available |
| Full Name | Ingrid Stephanie Medina |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 600 Coffee Rd, Modesto, 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 |
|---|---|---|---|
| 1063141489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2473 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrid Stephanie Medina, PA-C 7652 Camellia Ave, North Hollywood, CA 91605-2905 Ph: (818) 823-3610 | Ingrid Stephanie Medina, PA-C 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (818) 503-1233 |
Melina Lanzar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Ms. Manpreet Kaur Sheabat, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355 Phone: 209-726-7381 |
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687 |
Penny Goumenidis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779 |
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609 |
Mr. Jason Frazer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |