| Shawn Charles Lies, PA | |
|
3315 Broadway, Oakland, CA 94611-5717 | |
| (510) 486-2300 | |
| (510) 486-2333 |
| Full Name | Shawn Charles Lies |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 3315 Broadway, Oakland, 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 |
|---|---|---|---|
| 1578796439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA52420 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ucsf Medical Center | San francisco, CA | Hospital |
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ucsf Medical Group Business Services | 3779497870 | 1533 |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760552343 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389 |
| Entity Name | UCSF Pediatrics Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
| 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 Dept of Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
| 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 |
|---|---|
| Shawn Charles Lies, PA 200 Porter Dr, 215, San Ramon, CA 94583-1587 Ph: (925) 362-2166 | Shawn Charles Lies, PA 3315 Broadway, Oakland, CA 94611-5717 Ph: (510) 486-2300 |
Ms. Sherrie Ann Shiota, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885 Fax: 510-597-7169 |
Emily Eisenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4800 |
Rebecca Roisman Armstrong, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1144 65th St Ste F, Oakland, CA 94608 Phone: 510-929-1400 Fax: 510-929-1414 |
Dawn H Resney-deems, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-752-1758 |
Kristen Lynn Smol, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 616 16th St, Oakland, CA 94612 Phone: 510-563-4300 |
Linda Irene Villarreal, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 |
Yoo Min Yoon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 30th St, Oakland, CA 94609 Phone: 510-869-9200 |