| Vanessa Patrick, PA | |
|
460 W Sycamore St, Willows, CA 95988-2832 | |
| (530) 934-3385 | |
| (530) 934-3387 |
| Full Name | Vanessa Patrick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 460 W Sycamore St, Willows, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437212461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13210 (California) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA13210 (California) | Secondary |
| Entity Name | Glenn Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
| Entity Name | Innovative Sleep Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538564463 PECOS PAC ID: 8921326760 Enrollment ID: O20150408000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Patrick, PA 460 W Sycamore St, Willows, CA 95988-2832 Ph: (530) 934-3385 | Vanessa Patrick, PA 460 W Sycamore St, Willows, CA 95988-2832 Ph: (530) 934-3385 |
Yessenia Gonzalez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 263 N Villa Ave, Willows, CA 95988 Phone: 530-934-8700 |
Braydon Bouwhuis, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4641 |
Michael Schmies, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4641 Fax: 530-934-4081 |
Michell Danforth Knight, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 460 W Sycamore St, Willows, CA 95988 Phone: 530-934-3385 Fax: 530-934-3387 |
Miss Sara Mellum, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 263 N Villa Ave, Willows, CA 95988 Phone: 530-934-8700 |
Jason Mower, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4642 |
Miss Linda Sue Trimble, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1133 W Sycamore St, Willows, CA 95988 Phone: 530-934-4681 Fax: 530-934-1991 |