| Michelle Ann Wong, PA-C | |
|
200 Mission Blvd, 1st Floor, Jackson, CA 95642-2564 | |
| (209) 223-7555 | |
| Not Available |
| Full Name | Michelle Ann Wong |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 200 Mission Blvd, Jackson, 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 |
|---|---|---|---|
| 1336525609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 52720 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dispatchhealth-ca Pc | 4789086455 | 29 |
| Entity Name | Emergency Medicine Physician Partners of El Dorado County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619278660 PECOS PAC ID: 1456530153 Enrollment ID: O20110127000352 |
| Entity Name | Vallejo Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083916373 PECOS PAC ID: 2961683693 Enrollment ID: O20110228000897 |
| Entity Name | Vituity - Urgent Care Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013588250 PECOS PAC ID: 8022433085 Enrollment ID: O20200807000845 |
| Entity Name | Dispatchhealth-ca PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639752553 PECOS PAC ID: 4789086455 Enrollment ID: O20210719000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ann Wong, PA-C 2100 Powell St Ste 900, Emeryville, CA 94608-1844 Ph: (510) 350-2600 | Michelle Ann Wong, PA-C 200 Mission Blvd, 1st Floor, Jackson, CA 95642-2564 Ph: (209) 223-7555 |
Marissa Lee Proverbs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Mission Blvd, Jackson, CA 95642 Phone: 209-223-7500 |
Kelly Elizabeth Graver Pate, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9279 Locust St., Jackson, CA 95669 Phone: 209-245-6968 Fax: 209-245-5135 |
Cailey Dante, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 E State Highway 88, Jackson, CA 95642 Phone: 209-223-7040 Fax: 209-223-7606 |
Courtney Parker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Mission Blvd, Jackson, CA 95642 Phone: 209-257-7615 |
Jennifer L. Ruckelshaus, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Mission Boulevard, Jackson, CA 95642 Phone: 209-223-7500 |
Mr. Alan David Belch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd Ste 2200, Jackson, CA 95642 Phone: 209-257-5900 Fax: 209-257-5901 |
Angela Gale Groverman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12140 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403 |