| Thomas Yaw, PA-C | |
|
296 Cottage Ave, Manteca, CA 95336-4942 | |
| (209) 239-2901 | |
| Not Available |
| Full Name | Thomas Yaw |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 296 Cottage Ave, Manteca, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205351459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 54705 (California) | Primary |
| 207N00000X | Dermatology | 54705 (California) | Secondary |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Yaw, PA-C 1386 Wawona St, Manteca, CA 95337-6705 Ph: (209) 239-7898 | Thomas Yaw, PA-C 296 Cottage Ave, Manteca, CA 95336-4942 Ph: (209) 239-2901 |
Mr. Eric Paul Emmett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1789 W. Yosemite Ave, Sierra Building, Suite 200, Manteca, CA 95337 Phone: 209-858-7770 |
Inyoung Stella Yeo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 250 Northgate Dr Ste 102, Manteca, CA 95336 Phone: 209-722-4842 |
Breanna M Barrows, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 411 E Yosemite Ave, Manteca, CA 95336 Phone: 210-883-4853 |
Adam David Hubert, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Northgate Dr Ste 102, Manteca, CA 95336 Phone: 209-239-5299 |
Marichu Nisperos, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 330 Northgate Dr, Manteca, CA 95336 Phone: 209-239-1996 Fax: 209-239-2876 |
Trevor M Dolling, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 296 Cottage Ave, Manteca, CA 95336 Phone: 209-624-7006 Fax: 209-554-4601 |
Jennifer Lee Quach, Physician Assistant Medicare: Medicare Enrolled Practice Location: 165 Saint Dominics Dr Ste 120, Manteca, CA 95337 Phone: 510-241-2884 |