Morgan Marie-Claude Pessereau, PA-C
Individual provider Active NPI Physician Assistant · Napa, CA
NPI 1053045963 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1053045963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA61651 (CA)
- Practice address
- 1141 Pear Tree LN Ste 100
Napa, CA 94558-6485 - Phone
- (707) 254-1770
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221005003316 | CA | Practitioner - Physician Assistant | 6002292620 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61651 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Pain Management Medical Group, Inc. | Current |
Accepting new patients | |
| Ole Health | Current |
Accepting new patients | |
| Ole Health | Current |
Accepting new patients | |
| Ole Health | Current |
Accepting new patients |
Locations
4820 Business Center Dr
Ste 220
Fairfield, CA 94534
Phone (510) 278-2700
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61651 | CA | Yes |
Addresses
Primary practice location
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Mailing address
2655 Brown St
Napa, CA 94558-4925
Other providers in Napa, CA
- Sean Perkins
- Person Centered Support LLC
- Personalized Care MD
- David A. Perts
- Lori Jean Pesavento
- Tyrone Peterkin
- Veronique Peters
- Marianne Petersen
- Denise Peterson
- Brawnie Petrov
All providers in Napa, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.