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Geraldine Ann Suliman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289

PECOS Enrollment

This provider is enrolled in PECOS as GERALDINE SULIMAN.

Based on the most recent information from CMS, provider Geraldine Ann Suliman 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
1528129186
Provider Type
Individual
Full Name
Suliman, Geraldine Ann
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/13/2006
Last Updated
1/19/2017

Contact Information

Practice Location

3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289

(916) 241-9844

(916) 241-9845

Mailing Location

3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289

(916) 241-9844

(916) 241-9845

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA 13268 California
Code 133V00000X	Description Dietitian, Registered Dietary & Nutritional Service Providers	License 710511 California
Code 133VN1004X	Description Dietitian, Registered Dietary & Nutritional Service Providers	License 710511 California
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA13268 California

Provider Identifiers

ID	Description	Issuer
ID 1528129186	Description Medicaid	Issuer Unlisted California

Geraldine Ann Suliman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Seleh, Daniela

Terhune, Andrew P

Olson, Maryel

Randall, Alison L

Rossi, Lance Wade

Lee, Bei Bei

Nemolyaev, Sergey A.

Byrd, Asha Pavani

Lowe, William Jame

Smith, John Dewey