| Ryan Grove, | |
|
2823 Fresno St, Fresno, CA 93721-1324 | |
| (559) 499-6440 | |
| Not Available |
| Full Name | Ryan Grove |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 2823 Fresno St, Fresno, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821521659 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sublette County Health | Pinedale, WY | Hospital |
| Sublette County Health | Pinedale, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Teton County Hospital District | 4880582295 | 107 |
| Sublette County Hospital District | 5496163461 | 12 |
| Entity Name | Teton County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
| Entity Name | Sublette County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104410596 PECOS PAC ID: 5496163461 Enrollment ID: O20210518002474 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Grove, 2625 E Divisadero St, Fresno, CA 93721-1431 Ph: (559) 443-2682 | Ryan Grove, 2823 Fresno St, Fresno, CA 93721-1324 Ph: (559) 499-6440 |
Whitney Ann Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 |
Ericson Mutsuo Hirose, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |
Nicholas Cico, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 |
Irene J Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720 Phone: 559-323-9236 Fax: 559-323-0294 |
William Joseph Johncox, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720 Phone: 559-432-6807 Fax: 559-432-6937 |
Rocio Patricia Naranjo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7471 N Fresno St, Fresno, CA 93720 Phone: 559-436-4500 Fax: 559-436-0500 |
Charlene Kim Dang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-3770 |