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Nancy Jo Vassallo

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1 Medical Plaza Dr, Roseville, CA 95661-3037

PECOS Enrollment

This provider is enrolled in PECOS as NANCY VASSALLO.

Based on the most recent information from CMS, provider Nancy Jo Vassallo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1215959788
Provider Type
Individual
Full Name
Vassallo, Nancy Jo
Credential
P.A-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/24/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1 Medical Plaza Dr, Roseville, CA 95661-3037

(916) 781-1000

Unlisted Fax

Mailing Location

2100 Powell St, Ste 900, Emeryville, CA 94608-1826

(510) 350-2600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA12314 California

Nancy Jo Vassallo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Novick, Jacob Adam

Lee, Bei Bei

Babchanik, Lyudmila I

Hill-Falkenthal, June

Moser, Rodney L

Carson, Cindy C

Knox, Stephanie

Snarr, Matthew

Seleh, Daniela

Amaral, Steven E