| Phung Mar, PAC | |
|
2500 Grant Rd, Mountain View, CA 94040-4302 | |
| (650) 940-7055 | |
| Not Available |
| Full Name | Phung Mar |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2500 Grant Rd, Mountain View, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518198936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA20420 (California) | Primary |
| 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 | University of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | UCSF Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Phung Mar, PAC 2500 Grant Rd, Mountain View, CA 94040-4302 Ph: (650) 940-7055 | Phung Mar, PAC 2500 Grant Rd, Mountain View, CA 94040-4302 Ph: (650) 940-7055 |
Edward Hahm, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2490 Hospital Dr Ste 210, Mountain View, CA 94040 Phone: 408-871-3400 |
Doantrang Kim Nguyen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7575 |
Mrs. Jessica Gwen Sheehan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-404-8222 |
Samantha N Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7111 |
Susan Morgan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7000 |
Caroline Luczak, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2490 Hospital Dr Ste 211, Mountain View, CA 94040 Phone: 650-988-7488 |
Mrs. Cassandra Martin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2490 Hospital Dr Ste 111, Mountain View, CA 94040 Phone: 650-934-7530 |