| Mr Marshall Ray Debruler, PA-C | |
|
207 W Legion Rd, Brawley, CA 92227-7780 | |
| (760) 445-3050 | |
| Not Available |
| Full Name | Mr Marshall Ray Debruler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 207 W Legion Rd, Brawley, 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 |
|---|---|---|---|
| 1033441795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA20815 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| 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 | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marshall Ray Debruler, PA-C Po Box 900932, San Diego, CA 92190-0932 Ph: (760) 445-3050 | Mr Marshall Ray Debruler, PA-C 207 W Legion Rd, Brawley, CA 92227-7780 Ph: (760) 445-3050 |
Dina A. Jackson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 559-213-0297 |
Omayra Montalvo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410 |
Miss Autumn Leci Fornasero, M.S. PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 |
Salma Foroozan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410 |
Mr. Christopher Leslie Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 |
Mark Simpson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 |
Veronica Montenegro-jauregui, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 751 W Legion Rd Ste 204, Brawley, CA 92227 Phone: 760-351-3296 Fax: 760-351-3142 |