| Thelma Renee Wadsworth, PA-C, RDH | |
|
20641 Commerce Way, Burney, CA 96013-4380 | |
| (530) 335-6070 | |
| (530) 335-4078 |
| Full Name | Thelma Renee Wadsworth |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 20641 Commerce Way, Burney, 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 |
|---|---|---|---|
| 1962942078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 61886 (California) | Primary |
| 124Q00000X | Dental Hygienist | H7246 (Oregon) | Secondary |
| 124Q00000X | Dental Hygienist | RDH30945 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayers Memorial Hospital | Fall river mills, CA | Hospital |
| Mercy Medical Center Mt Shasta | Mount shasta, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dignity Health Medical Foundation | 7810800661 | 1211 |
| Mountain Valleys Health Centers | 4284685538 | 33 |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Entity Name | Mayers Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912125667 PECOS PAC ID: 6305804196 Enrollment ID: O20041227000593 |
| Entity Name | Mountain Valleys Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424 |
| Entity Name | Mayers Memorial Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912125667 PECOS PAC ID: 6305804196 Enrollment ID: O20090303000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Thelma Renee Wadsworth, PA-C, RDH Po Box 277, Bieber, CA 96009-0277 Ph: (530) 294-5392 | Thelma Renee Wadsworth, PA-C, RDH 20641 Commerce Way, Burney, CA 96013-4380 Ph: (530) 335-6070 |
Heather Marie Corr, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 37491 Enterprise Dr, Burney, CA 96013 Phone: 530-335-5457 Fax: 530-336-3060 |
Christopher Calvin Lim Freking, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 37491 Enterprise Dr, Burney, CA 96013 Phone: 530-999-9030 Fax: 530-362-4038 |