Boris D Ellyason, MD | |
1600 Eureka Rd, Roseville, CA 95661-3027 | |
(916) 784-4000 | |
Not Available |
Full Name | Boris D Ellyason |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 1600 Eureka Rd, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578613386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208100000X | Physical Medicine & Rehabilitation | A70408 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Boris D Ellyason, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Boris D Ellyason, MD 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000 |
Dr. Morgan O'connor, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 | |
Mr. Moola Prabhakar Reddy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 Fax: 916-772-6333 | |
Christopher Brophy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 729 Sunrise Ave Ste 602, Roseville, CA 95661 Phone: 916-953-7571 Fax: 916-771-8515 | |
Dr. Ryan James Hagens, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd, Roseville, CA 95661 Phone: 916-772-5325 Fax: 916-772-5325 | |
Dr. Robert Addison Mcauley, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 729 Sunrise Ave Ste 200, Roseville, CA 95661 Phone: 916-781-7882 Fax: 916-781-3787 | |
Jason Andrade, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 | |
Dr. Lawrence Joseph Manhart Jr., M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Mob 2 - Pediatric Specialties, Roseville, CA 95661 Phone: 916-474-2215 |