| Mr Edward Henry Parker, | |
|
4715 Valley East Blvd, Suite 3, Arcata, CA 95521-3584 | |
| (707) 822-3376 | |
| (707) 822-5053 |
| Full Name | Mr Edward Henry Parker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 4715 Valley East Blvd, Arcata, 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 |
|---|---|---|---|
| 1235370156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13679 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mad River Community Hospital | Arcata, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Pacific Dermatology A Medical Corporation | 4981704723 | 7 |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Entity Name | North Pacific Dermatology a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548489602 PECOS PAC ID: 4981704723 Enrollment ID: O20070710000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Henry Parker, 1575 S Railroad Ave, Crescent City, CA 95531-6821 Ph: (707) 464-8335 | Mr Edward Henry Parker, 4715 Valley East Blvd, Suite 3, Arcata, CA 95521-3584 Ph: (707) 822-3376 |
Carrie R. K. Brothers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1150 Foster Ave, Arcata, CA 95521 Phone: 805-682-8844 |
Susan Jane Riesel, WHPAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 770 10th Street, Arcata, CA 95521 Phone: 707-826-8610 Fax: 707-826-8623 |
Caroline Lowry, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 785 18th St, Arcata, CA 95521 Phone: 707-822-2481 Fax: 707-822-3656 |
Mrs. Heather Kyte, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Weeot Way, Arcata, CA 95521 Phone: 707-825-5000 Fax: 707-825-6747 |
Debra R Harrison, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Weeot Way, Arcata, CA 95521 Phone: 707-825-5010 Fax: 707-825-6736 |
Martin Kimble, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1600 Weeot Way, Arcata, CA 95521 Phone: 707-825-5000 Fax: 707-825-6747 |
Deborah Spiegel Sweitzer, WHPAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 785 18th St, Arcata, CA 95521 Phone: 707-822-2481 Fax: 707-822-3656 |