Ecstacy Peralta, in Dinuba, CA - Medicare Physician Assistant

Ecstacy Peralta, is a medicare enrolled "Physician Assistant" in Dinuba, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lamia L Gabal Md Inc and her current practice location is 468 N Vermont Ave, Dinuba, California. You can reach out to her office (for appointments etc.) via phone at (559) 591-6200.

Ecstacy Peralta is licensed to practice in California (license number 51945) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659774602.

Contact Information

	Ecstacy Peralta,
	468 N Vermont Ave, Dinuba, CA 93618-1631
	(559) 591-6200
	Not Available

Map and Direction

Provider's Profile

Full Name	Ecstacy Peralta
Gender	Female
Speciality	Physician Assistant
Experience	10 Years
Location	468 N Vermont Ave, Dinuba, 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.

Medical Education and Training:

Ecstacy Peralta graduated from nursing school in 2014

NPI Data:

NPI Number: 1659774602
Provider Enumeration Date: 10/06/2014
Last Update Date: 04/19/2021

Medicare PECOS Information:

PECOS PAC ID: 3173815404
Enrollment ID: I20191218000811

Medical Identifiers

Medical identifiers for Ecstacy Peralta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659774602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	51945 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lamia L Gabal Md Inc	4486544145	6

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. Ecstacy Peralta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ecstacy Peralta, 321 W Chennault Ave, Apt 225, Clovis, CA 93611-0217 Ph: (408) 420-4628	Ecstacy Peralta, 468 N Vermont Ave, Dinuba, CA 93618-1631 Ph: (559) 591-6200

Reviews and Comments

Physician Assistant Nurses in Dinuba, CA

Ms. Kaylah Breann Gonzales, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 S Alta Ave, Dinuba, CA 93618 Phone: 559-319-2588
Leticia Garcia Reyes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 317 W El Monte Way, Dinuba, CA 93618 Phone: 559-591-6200
Mr. John Louis Tieche, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 N Vermont Ave, Dinuba, CA 93618 Phone: 559-591-1060
Mr. William Alfonso Granillo, PHYSICIAN ASSISTAN T Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 888 N Alta Ave, Dinuba, CA 93618 Phone: 559-595-1000 Fax: 559-591-6322
Griffith Tanner Davis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 468 N Vermont Ave, Dinuba, CA 93618 Phone: 559-591-6200
Boris M. Suarez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1451 E El Monte Way, Dinuba, CA 93618 Phone: 559-591-3342
Ms. Gabrielle Brandylynn Payne, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 317 W El Monte Way, Dinuba, CA 93618 Phone: 559-591-6200

Ecstacy Peralta, - Medicare Physician Assistant in Dinuba, CA