Vila Phoulavan, PA-C in Berkeley, CA - Medicare Physician Assistant

Vila Phoulavan, PA-C is a medicare enrolled "Physician Assistant - Medical" in Berkeley, California. He graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 2500 Milvia St, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (510) 204-5514.

Vila Phoulavan is licensed to practice in California (license number 17855) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184705212.

Contact Information

	Vila Phoulavan, PA-C
	2500 Milvia St, Berkeley, CA 94704-2636
	(510) 204-5514
	Not Available

Map and Direction

Provider's Profile

Full Name	Vila Phoulavan
Gender	Male
Speciality	Physician Assistant
Experience	21 Years
Location	2500 Milvia St, Berkeley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Vila Phoulavan graduated from nursing school in 2004

NPI Data:

NPI Number: 1184705212
Provider Enumeration Date: 10/17/2006
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7113962523
Enrollment ID: I20050627000538

Medical Identifiers

Medical identifiers for Vila Phoulavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184705212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	17855 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	3318

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vila Phoulavan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vila Phoulavan, PA-C 6220 Fairlane Dr Unit B, Oakland, CA 94611-1810 Ph: (510) 735-1891	Vila Phoulavan, PA-C 2500 Milvia St, Berkeley, CA 94704-2636 Ph: (510) 204-5514

Reviews and Comments

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Vila Phoulavan, PA-C - Medicare Physician Assistant in Berkeley, CA