Mr Edman Fuentes, PAC in Sonora, CA - Medicare Physician Assistant

Mr Edman Fuentes, PAC is a medicare enrolled "Physician Assistant - Surgical" in Sonora, California. He graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Portercare Adventist Health System and his current practice location is 900 Greenley Rd, Suite 914, Sonora, California. You can reach out to his office (for appointments etc.) via phone at (925) 469-6274.

Mr Edman Fuentes is licensed to practice in California (license number PA51630) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013988955.

Contact Information

	Mr Edman Fuentes, PAC
	900 Greenley Rd, Suite 914, Sonora, CA 95370-5287
	(925) 469-6274
	(925) 924-1769

Map and Direction

Provider's Profile

Full Name	Mr Edman Fuentes
Gender	Male
Speciality	Physician Assistant
Experience	24 Years
Location	900 Greenley Rd, Sonora, 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.

Medical Education and Training:

Mr Edman Fuentes graduated from nursing school in 2002

NPI Data:

NPI Number: 1013988955
Provider Enumeration Date: 01/30/2006
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5092847699
Enrollment ID: I20250128004368

Medical Identifiers

Medical identifiers for Mr Edman Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013988955	NPI	-	NPPES
PA9102297	Other	FL	MEDICAL LICENSE
PA51630	Other	CA	MEDICAL LICENSE
291613400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA.008727 (Colorado)	Secondary
363AS0400X	Physician Assistant - Surgical	PA51630 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Centura Health-porter Adventist Hospital	Denver, CO	Hospital
Littleton Adventist Hospital, Centura Health	Littleton, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portercare Adventist Health System	0941110886	682

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edman Fuentes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Edman Fuentes, PAC 5725 W Las Positas Blvd, Suite 200, Pleasanton, CA 94588-4054 Ph: (925) 469-6274	Mr Edman Fuentes, PAC 900 Greenley Rd, Suite 914, Sonora, CA 95370-5287 Ph: (925) 469-6274

Reviews and Comments

Physician Assistant Nurses in Sonora, CA

Wyatt Stebbins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 209-532-1326
Jester Mark Callejo Odrunia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Mono Way, Sonora, CA 95370 Phone: 694-020-9536
Gunnar Erik Rohde-moe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14677 Deon Dr, Sonora, CA 95370 Phone: 209-532-1844
Mr. Jorge Ortega Rodriguez, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 13975 Mono Way, Sonora, CA 95370 Phone: 209-533-9600
Ryan Salt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13975 Mono Way Ste G, Sonora, CA 95370 Phone: 209-533-9600 Fax: 209-533-9608
Christine Ann Elder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19933 Greenley Rd, Sonora, CA 95370 Phone: 209-536-0505 Fax: 209-536-0506

Mr Edman Fuentes, PAC - Medicare Physician Assistant in Sonora, CA