| Michael Brazelton, PA-C | |
|
2100 Powell St, Suite 920, Emeryville, CA 94608 | |
| (510) 350-2777 | |
| Not Available |
| Full Name | Michael Brazelton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 2100 Powell St, Emeryville, 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 |
|---|---|---|---|
| 1811355274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 085005778 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity - Illinois Auc Llp | 0547516932 | 28 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Brazelton, PA-C 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 Ph: (510) 350-2777 | Michael Brazelton, PA-C 2100 Powell St, Suite 920, Emeryville, CA 94608 Ph: (510) 350-2777 |
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 |