Philip M Da Visio, PA is a medicare enrolled "Personal Emergency Response Attendant" in Stockton, California. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Permanente Medical Group Inc and his current practice location is
525 W Acacia St, Stockton, California. You can reach out to his office (for appointments etc.) via phone at
(209) 944-5550.
Philip M Da Visio is licensed to practice in California (license number PA17470) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659380699.
Provider's Profile
| Full Name | Philip M Da Visio |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 525 W Acacia St, Stockton, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Philip M Da Visio graduated from nursing school in 2004
NPI Data:
- NPI Number: 1659380699
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214965276
- Enrollment ID: I20050801000272
Medical Identifiers
Medical identifiers for Philip M Da Visio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659380699 | NPI | - | NPPES |
| PA17470 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA17470 (California) | Secondary |
| 146D00000X | Personal Emergency Response Attendant | PA17470 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Philip M Da Visio is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Philip M Da Visio, PA
Po Box 11101,
Westminster, CA 92685-1101
Ph: (866) 878-5075 | Philip M Da Visio, PA
525 W Acacia St,
Stockton, CA 95203-2405
Ph: (209) 944-5550 |
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