| Mr Eric J Fly, PA-C | |
|
548 South Marine Corps Drive, Tamuning, GU 96931-6578 | |
| (671) 646-5824 | |
| (671) 647-3546 |
| Full Name | Mr Eric J Fly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 548 South Marine Corps Drive, Tamuning, Guam |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881657435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Guam) | Primary |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
| Entity Name | Minnesota Valley Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20040301000309 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20090204000094 |
| Entity Name | Sibley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740240225 PECOS PAC ID: 3870722499 Enrollment ID: O20140418000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eric J Fly, PA-C 243 Winkler Trl, Cologne, MN 55322-8013 Ph: (671) 646-6956 | Mr Eric J Fly, PA-C 548 South Marine Corps Drive, Tamuning, GU 96931-6578 Ph: (671) 646-5824 |
Rachel Ivy Grace Magistre-legend, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-646-1292 |
Mr. Walter Edward Stratton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 548 South Marine Corps Drive, Tamuning, GU 96913 Phone: 671-646-5824 Fax: 671-647-3546 |
Bethany Helm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-648-2558 |
Kamille Wang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 851 Gov Carlos G Camacho Rd, Tamuning, GU 96913 Phone: 671-649-5018 |
Tina Serena Heinrich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-648-2512 |
Dr. Rory Platt, M.D. A.P.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 850 Governor Carlos G. Camacho Road, Tamuning, GU 96913 Phone: 671-647-2555 |
Mrs. Karyn A. Kaufman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 548 South Marine Corps Drive, Tamuning, GU 96913 Phone: 671-646-5824 Fax: 671-647-3546 |