| Empowerme Medical Group, Pc | |
|
9747 Sierra College Blvd Granite Bay CA 95746-6320 | |
| (877) 367-9772 | |
| Not Available |
| Full Name | Empowerme Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9747 Sierra College Blvd, Granite Bay, California |
| Authorized Official Name and Position | David Church (VP OF FINANCE) |
| Authorized Official Contact | 6189725228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Medical Group, Pc 1335 Strassner Dr Brentwood MO 63144-1872 Ph: (877) 367-9772 | Empowerme Medical Group, Pc 9747 Sierra College Blvd Granite Bay CA 95746-6320 Ph: (877) 367-9772 |
| NPI Number | 1811737604 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 7214392059 |
|---|---|
| Medicare Enrollment ID | O20240619002366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811737604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Mitchell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952669152 PECOS PAC ID: 5496981425 Enrollment ID: I20240620003377 |
| Provider Name | Kristopher Wolfe |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497137947 PECOS PAC ID: 5193073575 Enrollment ID: I20240906002576 |
| Provider Name | Patricia Lewien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295256485 PECOS PAC ID: 2961772223 Enrollment ID: I20241115003949 |
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