| Poonam Rai, PA | |
|
1631 Creekside Dr Ste 102, Folsom, CA 95630-3820 | |
| (916) 250-0377 | |
| Not Available |
| Full Name | Poonam Rai |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1631 Creekside Dr Ste 102, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487297099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58359 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Spine & Nerve Diagnostic Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144628504 PECOS PAC ID: 9830416460 Enrollment ID: O20150319001739 |
| Mailing Address | Practice Location Address |
|---|---|
| Poonam Rai, PA 5769 Himalaya Way, Citrus Heights, CA 95621-3410 Ph: (916) 860-9979 | Poonam Rai, PA 1631 Creekside Dr Ste 102, Folsom, CA 95630-3820 Ph: (916) 250-0377 |
Mrs. Maria Katherine Reesink, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1641 Creekside Dr Ste 201, Folsom, CA 95630 Phone: 916-983-3069 |
Kate Caraska, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1611 Creekside Dr Ste 103, Folsom, CA 95630 Phone: 916-817-2649 |
Brandon Janus Freund, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 E Bidwell St, Folsom, CA 95630 Phone: 916-920-6337 |
Ronald Ramon Simpson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1050 Iron Point Rd, Folsom, CA 95630 Phone: 916-597-2340 |
Denise Kathleen Hopkins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1561 Creekside Dr, Folsom, CA 95630 Phone: 916-983-2193 Fax: 916-983-2285 |
Cristian M Popescu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 Iron Point Rd Apt 122, Folsom, CA 95630 Phone: 815-739-3365 |
Scott Kevin Ishmael, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1350 Broadstone Pkwy, Appt 3622, Folsom, CA 95630 Phone: 530-409-5755 |