Antone Briseno, PA is a
Physician Assistant based in Mccloud, California. Antone Briseno is licensed to practice in California (license number PA17420) and his current practice location is
116 West Minnesota Ave, Mccloud, California. He can be reached at his office (for appointments etc.) via phone at
(530) 964-2389.
NPI number for Antone Briseno is 1083800742 and his current mailing address is 75-5751 Kuakini Hwy, Ste 203, Kailua Kona, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083800742.
Provider's Profile
| Full Name | Antone Briseno |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 116 West Minnesota Ave, Mccloud, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083800742
- Provider Enumeration Date: 09/17/2007
- Last Update Date: 08/10/2017
Medical Identifiers
Medical identifiers for Antone Briseno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083800742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA17420 (California) | Primary |
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. Antone Briseno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Antone Briseno, PA
75-5751 Kuakini Hwy, Ste 203,
Kailua Kona, HI 96740-1753
Ph: (808) 326-3891 | Antone Briseno, PA
116 West Minnesota Ave,
Mccloud, CA 96057-1143
Ph: (530) 964-2389 |
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