| Stephanie Dawn Blodgett, PA-C | |
|
23962 Alicia Pkwy Ste I-1, Mission Viejo, CA 92691-3940 | |
| (949) 452-7699 | |
| Not Available |
| Full Name | Stephanie Dawn Blodgett |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 23962 Alicia Pkwy Ste I-1, Mission Viejo, 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 |
|---|---|---|---|
| 1720287170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19213 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| 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 | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Hmh Emergency Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659383024 PECOS PAC ID: 7911800826 Enrollment ID: O20040128001215 |
| Entity Name | Cep America - Auc PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568861524 PECOS PAC ID: 9537481692 Enrollment ID: O20141201002085 |
| Entity Name | Corona Regional Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Dawn Blodgett, PA-C 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2673 | Stephanie Dawn Blodgett, PA-C 23962 Alicia Pkwy Ste I-1, Mission Viejo, CA 92691-3940 Ph: (949) 452-7699 |
Lauren Elizabeth Vento, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 |
John Eric Mellott, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 Fax: 949-365-4941 |
Mr. Glenn Phillips, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 23512 Madero, Mission Viejo, CA 92691 Phone: 949-583-1600 Fax: 949-454-8067 |
Miss Jessica Cummings, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 27800 Medical Center Rd Ste 260, Mission Viejo, CA 92691 Phone: 949-364-1400 |
Nicolette Keys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26726 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691 Phone: 949-364-4361 |
Jaehyun Cho, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111 |
Joseph Zachary Nojan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26024 Acero, Mission Viejo, CA 92691 Phone: 714-545-5550 |