Lacee Marie Childers, PA in Riverside, CA - Medicare Physician Assistant

Lacee Marie Childers, PA is a medicare enrolled "Physician Assistant - Medical" in Riverside, California. Her current practice location is 4445 Magnolia Ave, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 788-3200.

Lacee Marie Childers is licensed to practice in California (license number PA21251) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073816583.

Contact Information

	Lacee Marie Childers, PA
	4445 Magnolia Ave, Riverside, CA 92501-4135
	(951) 788-3200
	(951) 788-3200

Provider's Profile

Full Name	Lacee Marie Childers
Gender	Female
Speciality	Physician Assistant - Medical
Location	4445 Magnolia 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: 1073816583
Provider Enumeration Date: 12/06/2010
Last Update Date: 09/14/2013

Medicare PECOS Information:

PECOS PAC ID: 9537339742
Enrollment ID: I20110825000681

Medical Identifiers

Medical identifiers for Lacee Marie Childers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073816583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA21251 (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. Lacee Marie Childers 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
Lacee Marie Childers, PA Po Box 79495, Corona, CA 92877-0183 Ph: (951) 788-3000	Lacee Marie Childers, PA 4445 Magnolia Ave, Riverside, CA 92501-4135 Ph: (951) 788-3200

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Physician Assistant Nurses in Riverside, CA

Mr. David W Levine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3381
Lissette G Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9939 Magnolia Ave, Riverside, CA 92503 Phone: 818-282-5894
Mr. Travis William Cruz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9525 Los Amigos Court, Riverside, CA 92508 Phone: 951-250-1475
Kevin Morris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7101 Magnolia Ave Ste A, Riverside, CA 92504 Phone: 951-682-9780 Fax: 951-682-9787
Patrick T Mc Gill, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Colleen Zumaran Jewess, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9041 Magnolia Ave Ste 206, Riverside, CA 92503 Phone: 951-354-2220
Wilfredo Martinez, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 5430 Arlington Ave, Riverside, CA 92504 Phone: 951-689-2955 Fax: 951-689-2477

Lacee Marie Childers, PA - Medicare Physician Assistant in Riverside, CA