| Mr Dennis Patrick Blaine, PAC | |
|
3104 Sunset Blvd #2b, Rocklin, CA 95677 | |
| (916) 624-0300 | |
| (916) 624-0631 |
| Full Name | Mr Dennis Patrick Blaine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 3104 Sunset Blvd #2b, Rocklin, 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 |
|---|---|---|---|
| 1457443368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16607 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enloe Health | Chico, CA | Hospital |
| Oroville Hospital | Oroville, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Seneca District Hospital | Chester, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Enloe Medical Center | 9739092388 | 330 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753281 PECOS PAC ID: 9739092388 Enrollment ID: O20031110000404 |
| Entity Name | Vituity-california Observation Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386356277 PECOS PAC ID: 5991178998 Enrollment ID: O20230222000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dennis Patrick Blaine, PAC 203 Stanton Ct, Lincoln, CA 95648 Ph: (916) 543-9927 | Mr Dennis Patrick Blaine, PAC 3104 Sunset Blvd #2b, Rocklin, CA 95677 Ph: (916) 624-0300 |
Aspen Dale Fernando, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 White Fir Loop, Rocklin, CA 95677 Phone: 916-521-9992 |
Mrs. Brittney Dawn Reynoso, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6556 Lonetree Blvd, Rocklin, CA 95765 Phone: 916-781-9000 Fax: 916-781-9020 |
Mr. Chad Everett Spears, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6520 Lonetree Blvd Ste 2009, Rocklin, CA 95765 Phone: 925-600-0193 |
Alisha Marie Mortenson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3104 Sunset Blvd Ste 2b, Rocklin, CA 95677 Phone: 916-624-0300 |
Kevin Matthew Morse, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 6544 Lonetree Blvd, Rocklin, CA 95765 Phone: 916-925-7020 Fax: 916-925-3680 |
Grace O'brien, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6544 Lonetree Blvd, Rocklin, CA 95765 Phone: 916-925-7020 Fax: 916-925-3680 |
Meaghan Moriah Berglund, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4990 Rocklin Rd, #100, Rocklin, CA 95677 Phone: 916-788-4484 Fax: 916-218-6252 |