| Stefanie Sublett, PA-C | |
|
2656 Edith Ave Ste B, Redding, CA 96001-3030 | |
| (530) 244-2882 | |
| (530) 244-3703 |
| Full Name | Stefanie Sublett |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2656 Edith Ave Ste B, Redding, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104222868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 51976 (California) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 51976 (California) | Secondary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | California Family Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275001075 PECOS PAC ID: 7416298757 Enrollment ID: O20190415000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Sublett, PA-C 1920 California St, Ste A, Redding, CA 96001-1953 Ph: (530) 247-7070 | Stefanie Sublett, PA-C 2656 Edith Ave Ste B, Redding, CA 96001-3030 Ph: (530) 244-2882 |
Vanessa Lindo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 Knollcrest Dr Ste 101, Redding, CA 96002 Phone: 530-392-4399 Fax: 530-903-4226 |
Kaylin Wittry, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 Knollcrest Dr Ste 101, Redding, CA 96002 Phone: 530-392-4399 |
Melanie Anne Catalano, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Liberty St, Redding, CA 96001 Phone: 530-224-2700 |
Carl E Tjerandsen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-6000 Fax: 818-587-2493 |
Craig Francis Kulyn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1238 West St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460 |
Thomas E. Shellenberger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Butte Street, Redding, CA 96001 Phone: 530-244-5000 |
Ryan James Zauher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-7568 |