Individual ProviderSergey A. NemolyaevPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1650 Lead Hill Blvd Ste 100, Roseville, CA 95661-3072(916) 771-2477PECOS EnrollmentBased on the most recent information from CMS, provider Sergey A. Nemolyaev does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1558432062Provider TypeIndividualFull NameNemolyaev, Sergey A.CredentialP.A.GenderMaleSole ProprietorNoEnumeration Date11/13/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1650 Lead Hill Blvd Ste 100, Roseville, CA 95661-3072Phone(916) 771-2477Fax(916) 771-2492Mailing LocationMailing Address1650 Lead Hill Blvd Ste 100, Roseville, CA 95661-3072Phone(916) 771-2477Fax(916) 771-2492Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA15360California