MRS. SHERRIE J CONRAD PAC - NPI 1639199516 - Physician Assistant in Woodland, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Mrs. Sherrie J Conrad Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHERRIE J CONRAD PAC (NPI 1639199516) is an individual medical provider in Woodland, California, licensed in California (PA17010) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639199516

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. SHERRIE J CONRADCredential: PAC

Location Address515 FAIRCHILD CTWoodland, CA 95695-5164

Mailing Address3400 Data Dr, Attn Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956

Phone(530) 668-2600

Fax(530) 669-3661

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateFebruary 27, 2020

✔ NPI 1639199516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA17010

515 FAIRCHILD CT, Woodland, CA 95695

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Other Names 1

Former Name (1)Miss Sherrie J Eager

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sherrie J Conrad Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.