| Mary C Mcnicholas, PA | |
|
2100 Powell St, Suite 920, Emeryville, CA 94608-1826 | |
| (510) 350-2655 | |
| (510) 879-9071 |
| Full Name | Mary C Mcnicholas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2100 Powell St, Emeryville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295791960 | NPI | - | NPPES |
| PA14376 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA14376 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Mcnicholas, PA 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 Ph: (510) 350-2655 | Mary C Mcnicholas, PA 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 Ph: (510) 350-2655 |
Angela Luu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1335 Stanford Ave, Emeryville, CA 94608 Phone: 510-647-5101 Fax: 510-647-5105 | |
Osman Wagilla, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Powell St, Suite 900, Emeryville, CA 94608 Phone: 510-350-2600 | |
Terisa Chantele Sahli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Powell St, Suite 900, Emeryville, CA 94608 Phone: 530-722-7925 | |
Mr. Will Richard Blackmon Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Powell St, Suite 920, Emeryville, CA 94608 Phone: 925-939-5800 | |
Joseph Robert Maloney, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Powell St Ste 920, Emeryville, CA 94608 Phone: 510-350-2777 | |
Mark Phillips, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1335 Stanford Ave, Emeryville, CA 94608 Phone: 510-647-5101 | |
Niloufar Gabbay, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2100 Powell St, Suite 920, Emeryville, CA 94608 Phone: 510-350-2777 Fax: 510-879-9100 |