Premier Cancer Care and Infusion Center
A Medicare group practice based in Fresno, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9133591084), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9133591084
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- CA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230202001738 | CA | Part B Supplier - Clinic/Group Practice | 1568190064 |
| O20240702002364 | CA | Part B Supplier - Pharmacy | 1740051978 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Premier Cancer Care and Infusion Center
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1568190064
-
Premier Cancer Care and Infusion Center
- Non-Pharmacy Dispensing Site
- Fresno, CA
- NPI 1740051978
Practice locations
- Fresno, CA3
- Clovis, CA1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).
-
Muhammad Mansoor Alam, M.D
- Internal Medicine Physician
- Fresno, CA
- NPI 1417906835
-
Shada Attraplsi
- Internal Medicine Physician
- Fresno, CA
- NPI 1659707826
-
Michelle Elizabeth Bergen, FNP-BC
- Primary Care Nurse Practitioner
- Fresno, CA
- NPI 1144732017
-
Cassidy Glasser, PA-S
- Physician Assistant
- Santa Maria, CA
- NPI 1114756863
-
Dina Ibrahim, M.D
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1780625376
-
Julianne Macmullen, FNP
- Nurse Practitioner
- Visalia, CA
- NPI 1053044107
Sources for this page
- 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.