Sycuan Tribal Government

PAC ID

3971687799The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice

Enrolled in

CA

Enrollments

2

Group size

5 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 1 place

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Sycuan Tribal Government

  • Land Ambulance
  • El Cajon, CA
  • NPI 1043218191
• Sycuan Tribal Government

  • Clinic/Center
  • El Cajon, CA
  • NPI 1427197078

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (5).

• Wendy M Alva, CPNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Cajon, CA
  • NPI 1023085560
• Yemisrach A. Beyene, M.D.

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1528114980
• Matthew O Kelchner, D.C.

  • Chiropractor
  • Poway, CA
  • NPI 1174656755
• Niveen Kryakos

  • Dentist
  • Yuma, AZ
  • NPI 1821780875
• Keyshone D Pirtle, APRN-CNP

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1417567827
• Arjun N Reddy, MD

  • Internal Medicine Physician
  • El Cajon, CA
  • NPI 1730132457
• Sage Marie Salacup, PA-C

  • Physician Assistant
  • El Cajon, CA
  • NPI 1972320117
• Misty Shasceen Taylor, LCSW

  • Clinical Social Worker
  • Valley Center, CA
  • NPI 1831610864
• Melchior P. Vallone, DPM

  • Podiatrist
  • La Mesa, CA
  • NPI 1093998965

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.