| Rosemarie Kelley, PA-C | |
|
1441 Florida Ave, Doctor's Medical Center - Neuro Icu, Modesto, CA 95350-4405 | |
| (209) 576-3872 | |
| Not Available |
| Full Name | Rosemarie Kelley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1441 Florida Ave, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407942097 | NPI | - | NPPES |
| CD069A | Other | CA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13565 (California) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA13565 (California) | Secondary |
| Entity Name | Golden Valley Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemarie Kelley, PA-C 1441 Florida Ave, Greater Modesto Medical Surgical Associates, Modesto, CA 95350-4404 Ph: (209) 576-3601 | Rosemarie Kelley, PA-C 1441 Florida Ave, Doctor's Medical Center - Neuro Icu, Modesto, CA 95350-4405 Ph: (209) 576-3872 |
Melina Lanzar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Ms. Manpreet Kaur Sheabat, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355 Phone: 209-726-7381 |
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687 |
Penny Goumenidis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 |
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233 |
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779 |
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609 |