Mary Rosalie Pena-pridmore (NPI# 1336240837, PAC ID# 6103881933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336240837 |
| PAC ID by PECOS | 6103881933 |
| Professional Enrollment ID | I20081014000152 |
| Full Name | Mary Rosalie Pena-pridmore |
| Organization Legal Name | PEACH TREE HEALTHCARE |
| Address |
1445 Veterans Memorial Cir Suite B Yuba City CA 95993-3011 |
| Phone Number | 53074162451321 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416978440 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051311 | ORCHARD HOSPITAL |
| 050133 | RIDEOUT MEMORIAL HOSPITAL |
| 050030 | OROVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1445 Veterans Memorial Cir, Suite B, Yuba City, CA 95993-3011 | 53074162451321 | PEACH TREE HEALTHCARE |
| Organization Legal Name | PEACH TREE HEALTHCARE |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madeline Nguyen | Family Medicine | Peach Tree Healthcare | 1900 T St, Sacramento, CA 95811-6822 |
| Riley Rachelle Bullert | Optometry | Peach Tree Healthcare | 120 Independence Cir, Suite A, Chico, CA 95973-4925 |
| Rosanna Lynn Leo | Clinical Social Worker | Peach Tree Healthcare | 5730 Packard Ave, Suite 600, Marysville, CA 95901-7119 |
| Joseph W Cassady | Family Medicine | Peach Tree Healthcare | 724 5th St, Marysville, CA 95901-5646 |
| Charles G Kryski Sr. | Family Medicine | Peach Tree Healthcare | 1275 Tharp Rd, Yuba City, CA 95993-2645 |
| Hakeem Oluwaseun Adeniyi Jr. | Family Medicine | Peach Tree Healthcare | 5730 Packard Ave, Suite 600, Marysville, CA 95901-7119 |
| Street Address |
1445 VETERANS MEMORIAL CIR SUITE B |
| City | YUBA CITY |
| State | CA |
| Zip | 95993-3011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Solis | Physical Therapy | 1585 Butte House Rd, Suite A, Yuba City, CA 95993-2200 | |
| Larry W Gies | Chiropractic | 1585 Butte House Rd A, Yuba City, CA 95993-2200 | |
| Denise L Buchholz | Physical Therapy | Advanced Spinal Rehabilitation, Inc. | 1585 Butte House Rd A, Yuba City, CA 95993-2200 |
| Kasey R Forest | Physical Therapy | Advanced Spinal Rehabilitation, Inc. | 1585 Butte House Rd A, Yuba City, CA 95993-2200 |
| Lawrence E. Hearn | Physical Therapy | Advanced Spinal Rehabilitation, Inc. | 1585 Butte House Rd A, Yuba City, CA 95993-2200 |
| Loan Kim Tran | Optometry | 1282 Stabler Ln, Suite 620, Yuba City, CA 95993-2625 | |
| Charles G Kryski Sr. | Family Medicine | Peach Tree Healthcare | 1275 Tharp Rd, Yuba City, CA 95993-2645 |
| Gary R Taxera | Optometry | Three Rivers Optometric Grp Inc | 1245 Tharp Rd, Yuba City, CA 95993-2647 |
| Justin M Tolman | Optometry | Three Rivers Optometric Grp Inc | 1245 Tharp Rd, Yuba City, CA 95993-2647 |
| Benson Chin | Family Medicine | 1558 Poole Blvd, Yuba City, CA 95993-2667 | |
| Find all physicians in zip 95993 | |||
| City | YUBA CITY |
| Zip Code | 95993 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | YUBA CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary Rosalie Pena-pridmore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.