| Kellie A Dudy, PA-C | |
|
7471 N Fresno St, Fresno, CA 93720-2457 | |
| (559) 436-4500 | |
| (559) 261-1526 |
| Full Name | Kellie A Dudy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 7471 N Fresno St, Fresno, 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 |
|---|---|---|---|
| 1740419621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA20407 (California) | Secondary |
| 363A00000X | Physician Assistant | PA20407 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sharp Rees-stealy Medical Group Inc | 8628972759 | 872 |
| Entity Name | Sharp Rees-stealy Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
| 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 |
|---|---|
| Kellie A Dudy, PA-C 7471 N Fresno St, Fresno, CA 93720-2457 Ph: (559) 436-4500 | Kellie A Dudy, PA-C 7471 N Fresno St, Fresno, CA 93720-2457 Ph: (559) 436-4500 |
Whitney Ann Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 |
Ericson Mutsuo Hirose, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |
Nicholas Cico, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 |
Irene J Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720 Phone: 559-323-9236 Fax: 559-323-0294 |
William Joseph Johncox, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720 Phone: 559-432-6807 Fax: 559-432-6937 |
Rocio Patricia Naranjo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7471 N Fresno St, Fresno, CA 93720 Phone: 559-436-4500 Fax: 559-436-0500 |
Charlene Kim Dang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-3770 |