| Mr Eric Edwin Samuelson, FNP-C | |
|
2485 Sunrise Blvd Ste A, Gold River, CA 95670-4344 | |
| (916) 642-1867 | |
| Not Available |
| Full Name | Mr Eric Edwin Samuelson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 2485 Sunrise Blvd Ste A, Gold River, 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 |
|---|---|---|---|
| 1003608498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95035816 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Centers Of America | 3476813460 | 112 |
| Entity Name | Community Health Centers of America |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891207684 PECOS PAC ID: 3476813460 Enrollment ID: O20180213001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eric Edwin Samuelson, FNP-C 2485 Sunrise Blvd Ste A, Gold River, CA 95670-4344 Ph: (630) 999-1317 | Mr Eric Edwin Samuelson, FNP-C 2485 Sunrise Blvd Ste A, Gold River, CA 95670-4344 Ph: (916) 642-1867 |
Miranda Mangahas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2485 Sunrise Blvd Ste A, Gold River, CA 95670 Phone: 916-642-1867 |
Abievhese Lawani, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2485 Sunrise Blvd Ste A, Gold River, CA 95670 Phone: 916-642-1867 |
Winston Tuan Nguyen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2356 Gold Meadow Way Ste 130, Gold River, CA 95670 Phone: 916-365-4565 |
Stephanie Massey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2485 Sunrise Blvd Ste A, Gold River, CA 95670 Phone: 916-642-1867 |