| Lance Rivas, PA | |
|
2826 Harris St, Eureka, CA 95503 | |
| (707) 443-8066 | |
| (707) 268-3251 |
| Full Name | Lance Rivas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 2826 Harris St, Eureka, 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 |
|---|---|---|---|
| 1346422821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-003145 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 20085 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Joseph Hospital | Eureka, CA | Hospital |
| Mad River Community Hospital | Arcata, CA | Hospital |
| Sutter Coast Hospital | Crescent city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Rivas, PA 2826 Harris St, Eureka, CA 95503-4809 Ph: Not Available | Lance Rivas, PA 2826 Harris St, Eureka, CA 95503 Ph: (707) 443-8066 |
Sophia Marie Helena Gutierrez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2710 Dolbeer St, Eureka, CA 95501 Phone: 707-267-2060 |
Kathryn Stollmeyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 Harrison Ave, Eureka, CA 95501 Phone: 707-445-3660 |
Shubhangi B Deshmukh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2725 Myrtle Ave, Eureka, CA 95501 Phone: 800-453-3030 Fax: 800-328-3091 |
Melissa Christine Long, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 |
Mr. Nathaniel Griffith Demay, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250 |
Abigail Krause, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253 |
John P Brimlow, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2505 Lucas St, Eureka, CA 95501 Phone: 707-445-3063 Fax: 707-442-6602 |