| Stacy Jo Williams, PA-C | |
|
192 Blue Ravine Rd # 100, Folsom, CA 95630-4771 | |
| (916) 983-3373 | |
| Not Available |
| Full Name | Stacy Jo Williams |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 192 Blue Ravine Rd # 100, Folsom, 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 |
|---|---|---|---|
| 1629031984 | NPI | - | NPPES |
| 8N8996 | Other | TX | BLUE SHIELD |
| P00269387 | Other | TX | RR/MEDICARE |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden State Dermatology Associates, Inc. | 1052418175 | 118 |
| Entity Name | Golden State Dermatology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
| Entity Name | The Dermatology Center of Northern California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477880136 PECOS PAC ID: 3173666153 Enrollment ID: O20100201000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Jo Williams, PA-C 5601 J St, Sacramento, CA 95819-3948 Ph: (916) 454-5922 | Stacy Jo Williams, PA-C 192 Blue Ravine Rd # 100, Folsom, CA 95630-4771 Ph: (916) 983-3373 |
Mrs. Maria Katherine Reesink, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1641 Creekside Dr Ste 201, Folsom, CA 95630 Phone: 916-983-3069 |
Kate Caraska, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1611 Creekside Dr Ste 103, Folsom, CA 95630 Phone: 916-817-2649 |
Brandon Janus Freund, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 E Bidwell St, Folsom, CA 95630 Phone: 916-920-6337 |
Ronald Ramon Simpson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1050 Iron Point Rd, Folsom, CA 95630 Phone: 916-597-2340 |
Denise Kathleen Hopkins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1561 Creekside Dr, Folsom, CA 95630 Phone: 916-983-2193 Fax: 916-983-2285 |
Cristian M Popescu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 Iron Point Rd Apt 122, Folsom, CA 95630 Phone: 815-739-3365 |
Scott Kevin Ishmael, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1350 Broadstone Pkwy, Appt 3622, Folsom, CA 95630 Phone: 530-409-5755 |