| Siddharth Shah, | |
|
2203 Plaza Dr Ste 110, Rocklin, CA 95765-4427 | |
| (916) 938-2531 | |
| (877) 569-2252 |
| Full Name | Siddharth Shah |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2203 Plaza Dr Ste 110, Rocklin, 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 |
|---|---|---|---|
| 1275261729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 207N00000X | Dermatology | PA61439 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chacon Bnk Pc | 6800332800 | 5 |
| Entity Name | Advanced Skin Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427352053 PECOS PAC ID: 8921280181 Enrollment ID: O20110309000176 |
| Entity Name | Chacon Bnk PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174378525 PECOS PAC ID: 6800332800 Enrollment ID: O20240726000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Siddharth Shah, 2203 Plaza Dr Ste 110, Rocklin, CA 95765-4427 Ph: (916) 938-2531 | Siddharth Shah, 2203 Plaza Dr Ste 110, Rocklin, CA 95765-4427 Ph: (916) 938-2531 |
Aspen Dale Fernando, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 White Fir Loop, Rocklin, CA 95677 Phone: 916-521-9992 |
Mrs. Brittney Dawn Reynoso, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6556 Lonetree Blvd, Rocklin, CA 95765 Phone: 916-781-9000 Fax: 916-781-9020 |
Mr. Chad Everett Spears, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6520 Lonetree Blvd Ste 2009, Rocklin, CA 95765 Phone: 925-600-0193 |
Alisha Marie Mortenson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3104 Sunset Blvd Ste 2b, Rocklin, CA 95677 Phone: 916-624-0300 |
Kevin Matthew Morse, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 6544 Lonetree Blvd, Rocklin, CA 95765 Phone: 916-925-7020 Fax: 916-925-3680 |
Grace O'brien, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6544 Lonetree Blvd, Rocklin, CA 95765 Phone: 916-925-7020 Fax: 916-925-3680 |
Meaghan Moriah Berglund, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4990 Rocklin Rd, #100, Rocklin, CA 95677 Phone: 916-788-4484 Fax: 916-218-6252 |