| Cheryl Ketelsen, | |
|
15 Santa Rosa St, San Luis Obispo, CA 93405-1811 | |
| (805) 541-2650 | |
| (805) 541-4043 |
| Full Name | Cheryl Ketelsen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 15 Santa Rosa St, San Luis Obispo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770938532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 53363 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| French Hospital Medical Center | San luis obispo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Luis Dermatology And Laser Clinic Inc | 5496700767 | 6 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Ketelsen, 15 Santa Rosa St, San Luis Obispo, CA 93405-1811 Ph: (805) 541-2650 | Cheryl Ketelsen, 15 Santa Rosa St, San Luis Obispo, CA 93405-1811 Ph: (805) 541-2650 |
Mrs. Tina Lisa Heck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 77 Casa St Ste 201, San Luis Obispo, CA 93405 Phone: 805-269-1500 | |
Taylor Suzanne Wahl, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1235 Osos St # 100, San Luis Obispo, CA 93401 Phone: 805-549-0888 | |
Guillemette Calderwood, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3241 S Higuera St, San Luis Obispo, CA 93401 Phone: 805-544-4460 | |
Mrs. Taryn Alexandra Pearl, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 892 Aerovista Pl, Suite 130, San Luis Obispo, CA 93401 Phone: 805-395-3277 Fax: 805-541-1203 | |
Gary Mitchell Westbrock, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 715 Tank Farm Rd, San Luis Obispo, CA 93401 Phone: 805-541-4018 Fax: 805-543-6271 | |
Kellie Acosta, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 N Chorro St, Apt E, San Luis Obispo, CA 93405 Phone: 808-640-2660 | |
Jacqualine J. Dancy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405 Phone: 805-549-8880 Fax: 805-549-8743 |