| Jude Fox, | |
|
16319 Third Street, Guerneville, CA 95446 | |
| (707) 869-5977 | |
| (707) 869-5976 |
| Full Name | Jude Fox |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 16319 Third Street, Guerneville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548415508 | NPI | - | NPPES |
| 1356344758 | Medicaid | CA | |
| ZZZ73222Z | Other | CA | MEDICARE NHIC |
| ZZZ21461Z | Other | CA | MEDICARE NHIC |
| 237310613 | Other | CA | BX/BS |
| 1598768962 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA19987 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jude Fox, 16319 Third Street, Guerneville, CA 95446 Ph: (707) 869-5977 | Jude Fox, 16319 Third Street, Guerneville, CA 95446 Ph: (707) 869-5977 |
Aimee Laurenne Greenfield, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14045 Mill St, Guerneville, CA 95446 Phone: 707-869-5977 Fax: 707-869-5983 | |
Jerrold Paul Elliott Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16319 Third Street, Guerneville, CA 95446 Phone: 707-869-5977 Fax: 707-869-5983 |