| Nicole Kimball, PA-C, CAQ-OBGYN | |
|
242 Hospital Dr Ste A, Ukiah, CA 95482-4556 | |
| (707) 462-4303 | |
| Not Available |
| Full Name | Nicole Kimball |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 242 Hospital Dr Ste A, Ukiah, 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 |
|---|---|---|---|
| 1083257786 | NPI | - | NPPES |
| 055.0031689 | Other | VT | VT STATE LICENSE - PA |
| 6714044 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 055.0031689 (Vermont) | Secondary |
| 363A00000X | Physician Assistant | PA59084 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Planned Parenthood Of Northern New England, Inc | 8729069505 | 41 |
| Entity Name | Planned Parenthood of Northern New England, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578529350 PECOS PAC ID: 8729069505 Enrollment ID: O20040527000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kimball, PA-C, CAQ-OBGYN 2185 Pacheco St, Concord, CA 94520-2309 Ph: Not Available | Nicole Kimball, PA-C, CAQ-OBGYN 242 Hospital Dr Ste A, Ukiah, CA 95482-4556 Ph: (707) 462-4303 |
Meghan Lindquist, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 102, Ukiah, CA 95482 Phone: 707-463-7461 Fax: 707-463-8018 |
Jason Don Ullyott, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-7900 Fax: 707-462-7947 |
Dr. Larry Aguirre Ii, PA-C, DMSC, CAQ-PSY Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 531 S Orchard Ave Ste A, Ukiah, CA 95482 Phone: 707-472-0350 Fax: 707-472-0358 |
Susan Klimist-zingo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr, Suite 209, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111 |
Glenn Eric Gifford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 333 Laws Ave, Ukiah, CA 95482 Phone: 707-468-1010 Fax: 707-462-7532 |
Bryce Anthony Irwin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 234 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7356 Fax: 707-462-4409 |
Vincent Duong, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 333 Laws Ave, Ukiah, CA 95482 Phone: 707-468-8965 |