| Miss Marie Ellen Nielsen, MS, PA-C | |
|
1600 E Citrus Ave Ste A, Redlands, CA 92374-4802 | |
| (909) 389-1304 | |
| Not Available |
| Full Name | Miss Marie Ellen Nielsen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1600 E Citrus Ave Ste A, Redlands, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396016093 | NPI | - | NPPES |
| PENDING | Other | CA | MEDICARE |
| PA18155 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA18155 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Redlands Community Hospital | Redlands, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaver Medical Group P C | 0547164295 | 251 |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Entity Name | Centers for Family Medicine GP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Marie Ellen Nielsen, MS, PA-C Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Miss Marie Ellen Nielsen, MS, PA-C 1600 E Citrus Ave Ste A, Redlands, CA 92374-4802 Ph: (909) 389-1304 |
Iryna Kinzer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 Terracina Blvd Ste 205c, Redlands, CA 92373 Phone: 909-793-2323 Fax: 909-793-2324 |
Andrew Tyler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-558-6856 |
Madison Tucker Zagurski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-792-2605 |
Dustin James Harn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 Campus Ave, Redlands, CA 92374 Phone: 951-768-4615 |
Andrew Vincent Rives, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 W Lugonia Ave Ste 120, Redlands, CA 92374 Phone: 909-557-1600 |
Donna Centeno, Physician Assistant Medicare: Medicare Enrolled Practice Location: 245 Terracina Blvd Ste 102, Redlands, CA 92373 Phone: 909-792-2605 |
Mr. Gerardo Arreguin, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 E Sunset Dr N, Redlands, CA 92373 Phone: 909-965-8965 |