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Rebecca Wersan, PA-C

Physician Assistant in San Francisco, CA. Individual provider (NPI-1).

NPI number1750813622
StatusActive
Last updated in NPPESOct 15, 2018

Details

NPI
1750813622
Entity type
Individual (NPI-1)
Name
Rebecca Wersan
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2017
Last updated
Oct 15, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant54328CAYes

Practice location

170 Columbus Ave Ste 110
San Francisco, CA 94133-5160

Phone 415-965-8050 · Fax 415-965-7678

Mailing address

3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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