Peggy Jane Deforest, PA is a
Physician Assistant based in Shasta Lake, California. Peggy Jane Deforest is licensed to practice in California (license number PA 10739) and her current practice location is
5145 Shasta Dam Blvd, Shasta Lake, California. She can be reached at her office (for appointments etc.) via phone at
(530) 275-5421.
NPI number for Peggy Jane Deforest is 1447460522 and her current mailing address is 5734 Old Barn Way, Redding, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447460522.
Provider's Profile
Full Name | Peggy Jane Deforest |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 5145 Shasta Dam Blvd, Shasta Lake, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447460522
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Peggy Jane Deforest such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447460522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA 10739 (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. Peggy Jane Deforest is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peggy Jane Deforest, PA 5734 Old Barn Way, Redding, CA 96001-4649 Ph: (530) 275-5421 | Peggy Jane Deforest, PA 5145 Shasta Dam Blvd, Shasta Lake, CA 96019-9403 Ph: (530) 275-5421 |
Reviews and Comments