Micah Pinasco, | |
604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | |
(559) 320-0531 | |
Not Available |
Full Name | Micah Pinasco |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 604 N Magnolia Ave Ste 100, Clovis, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679196133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95014565 (California) | Primary |
363LF0000X | Nurse Practitioner - Family | 95014565 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Agnes Medical Center | Fresno, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Agnes Medical Foundation | 7618946369 | 146 |
Entity Name | Saint Agnes Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
Mailing Address | Practice Location Address |
---|---|
Micah Pinasco, 2625 E Divisadero St, Fresno, CA 93721-1431 Ph: (559) 443-2682 | Micah Pinasco, 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 Ph: (559) 320-0531 |
Robin D Medina, NP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 785 N Medical Center Dr W, Clovis, CA 93611 Phone: 559-387-1900 Fax: 559-387-1950 | |
Christine Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 W Nees Ave Ste 103, Clovis, CA 93611 Phone: 559-770-3434 | |
Jane Marguerite Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis Community Medical Center, Clovis, CA 93611 Phone: 559-638-2252 | |
Maika Vang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2871 Rall Ave, Clovis, CA 93611 Phone: 559-916-7106 | |
Gloria Christina Sudeta, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2608 | |
Joyalene Onn Lin Ng Hiersche, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Lesha Summer Grigsby, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 W Barcelona Ln, Clovis, CA 93619 Phone: 559-346-9234 |