| Justin Hadaller, | |
|
475 Bruce St, Yreka, CA 96097-3474 | |
| (530) 842-4121 | |
| (530) 841-0913 |
| Full Name | Justin Hadaller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 475 Bruce St, Yreka, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134521909 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairchild Medical Center | Yreka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Asante Physician Partners | 8325206246 | 227 |
| Siskiyou Hospital Inc | 1254223134 | 96 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Northwest Acute Care Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215983200 PECOS PAC ID: 7012807373 Enrollment ID: O20040318001535 |
| Entity Name | Asante Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Hadaller, 475 Bruce St, Yreka, CA 96097-3474 Ph: (530) 842-4121 | Justin Hadaller, 475 Bruce St, Yreka, CA 96097-3474 Ph: (530) 842-4121 |
Mr. Denis Hentrich, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-842-3507 Fax: 530-841-8533 |
Krista Urrutia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 475 Bruce St Ste 300, Yreka, CA 96097 Phone: 530-842-3507 Fax: 530-842-9412 |
Mr. Jeffrey M Hamlin, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 475 Bruce St Ste 500, Yreka, CA 96097 Phone: 530-842-3507 |
Jessica Steele, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-842-3507 |
Michael D Thibert, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-842-1267 Fax: 530-842-9121 |
Mrs. Shantel Nicole Joling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 475 Bruce St, Yreka, CA 96097 Phone: 530-842-3507 Fax: 530-842-9412 |
Morgan Nicole Nolletti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 530-842-4121 |