| Theresa Cotter, | |
|
11770 Bernardo Plaza Ct Ste 201, San Diego, CA 92128-2424 | |
| (760) 753-7127 | |
| (760) 334-0399 |
| Full Name | Theresa Cotter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 11770 Bernardo Plaza Ct Ste 201, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073388930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 63657 (California) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Entity Name | Coastal Pain & Spinal Diagnostics Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710044029 PECOS PAC ID: 3577509132 Enrollment ID: O20050705000844 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Cotter, 6221 Metropolitan St Ste 201, Carlsbad, CA 92009-3096 Ph: (760) 753-7127 | Theresa Cotter, 11770 Bernardo Plaza Ct Ste 201, San Diego, CA 92128-2424 Ph: (760) 753-7127 |
Jennifer Lee Hanley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6655 Alvarado Rd, San Diego, CA 92120 Phone: 949-632-5442 |
Ginger R Lucero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121 Phone: 858-859-1188 |
Dr. Jennifer Anne Freimund, M.D. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7475 |
Vanessa Wang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7830 Clairemont Mesa Blvd, Suite 203, San Diego, CA 92111 Phone: 858-300-2626 |
James Hamilton Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-657-8200 Fax: 858-657-8235 |
Shanna Michael Miller-nabas, RDN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-576-1700 |
Carter Donald Copeland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7625 Mesa College Dr Ste 200a, San Diego, CA 92111 Phone: 858-223-2172 |