| Community Wellness Medical Associates A Pc | |
|
304 S 4th St Ste 301 Danville KY 40422-2081 | |
| (650) 722-2611 | |
| Not Available |
| Full Name | Community Wellness Medical Associates A Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 304 S 4th St Ste 301, Danville, Kentucky |
| Authorized Official Name and Position | Michael Tinamisan Catausan (MD) |
| Authorized Official Contact | 9138277273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Wellness Medical Associates A Pc 1821 S Bascom Ave # 383 Campbell CA 95008-2309 Ph: () - | Community Wellness Medical Associates A Pc 304 S 4th St Ste 301 Danville KY 40422-2081 Ph: (650) 722-2611 |
| NPI Number | 1952995615 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 04/30/2025 |
| Medicare PECOS PAC ID | 0042697088 |
|---|---|
| Medicare Enrollment ID | O20220513000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952995615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian M Grimm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871540815 PECOS PAC ID: 2264423003 Enrollment ID: I20051123000496 |
| Provider Name | Michael Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013927771 PECOS PAC ID: 8426093741 Enrollment ID: I20081229000260 |
| Provider Name | Edward A Delos Trino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346773306 PECOS PAC ID: 2163793951 Enrollment ID: I20170814001035 |
| Provider Name | Michael Catausan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932326071 PECOS PAC ID: 0143312694 Enrollment ID: I20200423003630 |
| Provider Name | Elizabeth M Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942217153 PECOS PAC ID: 3779532569 Enrollment ID: I20201228001446 |
| Provider Name | Dina Marie Whiteaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841490 PECOS PAC ID: 5294953576 Enrollment ID: I20230906002915 |
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