| Mr David Anthony Konzem, PA-C | |
|
2880 Hulen Pl, Riverside, CA 92507-2606 | |
| (951) 715-3445 | |
| Not Available |
| Full Name | Mr David Anthony Konzem |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2880 Hulen Pl, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043641822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA51287 (California) | Secondary |
| 363A00000X | Physician Assistant | 0010-07561 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Anthony Konzem, PA-C 2880 Hulen Pl, Riverside, CA 92507-2606 Ph: Not Available | Mr David Anthony Konzem, PA-C 2880 Hulen Pl, Riverside, CA 92507-2606 Ph: (951) 715-3445 |
Mr. David W Levine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3381 |
Lissette G Lopez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9939 Magnolia Ave, Riverside, CA 92503 Phone: 818-282-5894 |
Mr. Travis William Cruz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9525 Los Amigos Court, Riverside, CA 92508 Phone: 951-250-1475 |
Kevin Morris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7101 Magnolia Ave Ste A, Riverside, CA 92504 Phone: 951-682-9780 Fax: 951-682-9787 |
Patrick T Mc Gill, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 |
Colleen Zumaran Jewess, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9041 Magnolia Ave Ste 206, Riverside, CA 92503 Phone: 951-354-2220 |
Thuy Xuan Hua, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4244 Riverwalk Pkwy Ste 290, Riverside, CA 92505 Phone: 951-520-9392 |