Mr Brian Knudsen Connolly, PA-C in Riverside, CA

Mr Brian Knudsen Connolly, PA-C is a medicare enrolled "Physician Assistant - Medical" in Riverside, California. His current practice location is 8151 Arlington Ave, Suites U-v, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (760) 728-3816.

Mr Brian Knudsen Connolly is licensed to practice in California (license number 15157) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922024926.

Contact Information

	Mr Brian Knudsen Connolly, PA-C
	8151 Arlington Ave, Suites U-v, Riverside, CA 92503-0436
	(760) 728-3816
	(760) 728-1542

Map and Direction

Provider's Profile

Full Name	Mr Brian Knudsen Connolly
Gender	Male
Speciality	Physician Assistant - Medical
Location	8151 Arlington Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922024926
Provider Enumeration Date: 07/14/2006
Last Update Date: 11/18/2008

Medicare PECOS Information:

PECOS PAC ID: 6800992009
Enrollment ID: I20150918001426

Medical Identifiers

Medical identifiers for Mr Brian Knudsen Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922024926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	15157 (California)	Primary

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. Mr Brian Knudsen Connolly 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
Mr Brian Knudsen Connolly, PA-C 8151 Arlington Ave, Suites U-v, Riverside, CA 92503-0436 Ph: (760) 728-3816	Mr Brian Knudsen Connolly, PA-C 8151 Arlington Ave, Suites U-v, Riverside, CA 92503-0436 Ph: (760) 728-3816

Reviews and Comments

Physician Assistant Nurses in Riverside, CA

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Mr Brian Knudsen Connolly, PA-C - Medicare Physician Assistant in Riverside, CA