Individual ProviderJulie HunnPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address729 Sunrise Ave Ste 900, Roseville, CA 95661-4525(916) 781-3310(408) 795-3619PECOS EnrollmentBased on the most recent information from CMS, provider Julie Hunn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1164686937Provider TypeIndividualFull NameHunn, JulieCredentialPAGenderFemaleSole ProprietorNoEnumeration Date7/10/2008Last Updated7/21/2022Contact InformationPractice LocationPractice Address729 Sunrise Ave Ste 900, Roseville, CA 95661-4525Phone(916) 781-3310Fax(916) 781-2338Mailing LocationMailing Address1691 The Alameda, San Jose, CA 95126-2203Phone(408) 795-3619FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense156CaliforniaProvider IdentifiersIDDescriptionIssuerID1548447378DescriptionMedicaidIssuerUnlistedCaliforniaID1730237116DescriptionMedicaidIssuerUnlistedCalifornia