| Jason Rogers, PA | |
|
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
| (209) 334-3411 | |
| Not Available |
| Full Name | Jason Rogers |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 975 S Fairmont Ave, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669970778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7007 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 55269 (California) | Primary |
| Entity Name | Solano Gateway Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952344293 PECOS PAC ID: 5496725418 Enrollment ID: O20040916001355 |
| Entity Name | Team Physicians of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Rogers, PA 8450 E Bonita Dr, Scottsdale, AZ 85250-7414 Ph: (480) 370-0949 | Jason Rogers, PA 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 334-3411 |
Arianna Bush, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 |
Raylene Blandino, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 S Ham Ln Ste A, Lodi, CA 95242 Phone: 209-333-3376 |
Alejandra Rodriguez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1150 S Cherokee Ln, Lodi, CA 95240 Phone: 209-370-1700 Fax: 209-762-6808 |
Shuk Mei Chung, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 W Kettleman Ln, Lodi, CA 95242 Phone: 209-224-8512 |
Miss Olha K Quintero, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 815 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-1884 |
Dawnne Karsky, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-339-7435 Fax: 209-333-3054 |
Ms. Tamrah Miller Tenhaeff, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7575 |