JILLIAN PENNELL RUTHERFORD PA-C
NPI 1255391884
Physician Assistant - Medical in Monterey, CA
About Jillian Pennell Rutherford Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILLIAN PENNELL RUTHERFORD PA-C (NPI 1255391884) is an individual medical provider in Monterey, California, licensed in Washington (PA10003965) and active in the NPI registry since March 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Burlingame.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jillian Pennell Rutherford Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTEREY, CA 93940
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255391884, enumerated as an "individual" on March 27, 2006.
The provider is located at 2 LOWER RAGSDALE DR STE 160 MONTEREY, CA 93940 and the phone number is (831) 717-4687.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
