| Tiffany Nickerson, | |
|
7512 Morro Rd, Atascadero, CA 93422-4404 | |
| (805) 792-1400 | |
| (805) 792-1485 |
| Full Name | Tiffany Nickerson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 7512 Morro Rd, Atascadero, 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 |
|---|---|---|---|
| 1336693605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA68366 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Shepherd Home Health | Hermiston, OR | Home health agency |
| Vange John Memorial Hospice | Hermiston, OR | Hospice |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| St Anthony Hospital | Pendleton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yakima Valley Farm Workers Clinic | 4385541986 | 274 |
| Entity Name | Yakima Valley Farm Workers Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427001940 PECOS PAC ID: 4385541986 Enrollment ID: O20040116001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Nickerson, 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8030 | Tiffany Nickerson, 7512 Morro Rd, Atascadero, CA 93422-4404 Ph: (805) 792-1400 |
Mrs. Naomi Susanne Waak, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5905 Capistrano Ave, #c, Atascadero, CA 93422 Phone: 805-461-7144 Fax: 805-461-7141 |
Hilary Abbott Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8340 Morro Rd, Atascadero, CA 93422 Phone: 805-460-6333 Fax: 805-468-4495 |
Kristen Marie Viera, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6955 El Camino Real Ste 101, Atascadero, CA 93422 Phone: 805-539-2031 Fax: 805-539-2032 |
Thomas M Peluso, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7512 Morro Rd, Atascadero, CA 93422 Phone: 805-792-1400 Fax: 805-792-1485 |
Mary F Eanes, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9700 El Camino Real, Suite 100, Atascadero, CA 93422 Phone: 805-461-9000 Fax: 805-461-9001 |
Rachael Taylor Morgan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7330 El Camino Real, Atascadero, CA 93422 Phone: 805-703-2501 |
Mr. Michael Blackwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9700 El Camino Real, Suite 100, Atascadero, CA 93422 Phone: 805-461-9000 Fax: 805-461-9001 |