Mrs Annette Conrad, MPA, MPT is a
Physician Assistant based in Riverside, California. Mrs Annette Conrad is licensed to practice in California (license number PA20557) and her current practice location is
3975 Jackson St, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 352-2092.
NPI number for Mrs Annette Conrad is 1689780843 and her current mailing address is 29198 Stonegate Ln, Highland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689780843.
Healthcare Provider's Profile
| Full Name | Mrs Annette Conrad |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 3975 Jackson St, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689780843
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 10/28/2009
Medical Identifiers
Medical identifiers for Mrs Annette Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689780843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT13244 (California) | Secondary |
| 363A00000X | Physician Assistant | PA20557 (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. Mrs Annette Conrad 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 |
|---|
Mrs Annette Conrad, MPA, MPT
29198 Stonegate Ln,
Highland, CA 92346-5866
Ph: (909) 864-4747 | Mrs Annette Conrad, MPA, MPT
3975 Jackson St,
Riverside, CA 92503-3901
Ph: (951) 352-2092 |
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