| Shawnna Tiffany Reilly, PA-C | |
|
476 E Campbell Ave, Campbell, CA 95008-2142 | |
| (408) 378-1888 | |
| (408) 378-5830 |
| Full Name | Shawnna Tiffany Reilly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 476 E Campbell Ave, Campbell, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124158712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19034 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanford Health Care Tri-valley | Pleasanton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pleasanton Emergency Medical Group | 0143118927 | 38 |
| Entity Name | County of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Eden Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891786240 PECOS PAC ID: 7012802333 Enrollment ID: O20040217000163 |
| Entity Name | Pleasanton Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285625509 PECOS PAC ID: 0143118927 Enrollment ID: O20040304001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnna Tiffany Reilly, PA-C 476 E Campbell Ave, Campbell, CA 95008-2142 Ph: (408) 378-1888 | Shawnna Tiffany Reilly, PA-C 476 E Campbell Ave, Campbell, CA 95008-2142 Ph: (408) 378-1888 |
Tristen Heitz Haug, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3803 S Bascom Ave, Suite 200, Campbell, CA 95008 Phone: 408-559-0988 Fax: 408-369-4263 |
Iman Fatima Yousuf, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1284 Olympia Ave, Campbell, CA 95008 Phone: 669-254-9235 |
Mrs. Jennifer Rebecca Malloy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2255 S Bascom Ave, Suite 200, Campbell, CA 95008 Phone: 408-376-3626 Fax: 408-871-2377 |
Kevin Ly, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3425 S Bascom Ave Ste 200, Campbell, CA 95008 Phone: 408-256-5292 |
Nisha R Jariwalla, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 429 Llewellyn Ave, Campbell, CA 95008 Phone: 408-373-9656 |
Helen Dinh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Campisi Way Ste 2a, Campbell, CA 95008 Phone: 408-827-4274 |
Miriam Sherif, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1760 S Bascom Ave Ste 140, Campbell, CA 95008 Phone: 408-214-9732 |