Dr Shawn Michael Kreiner, MD | |
1900 Dresden Dr, Lincoln, CA 95648-8803 | |
(916) 543-5500 | |
Not Available |
Full Name | Dr Shawn Michael Kreiner |
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Gender | Male |
Speciality | Pediatrics |
Location | 1900 Dresden Dr, Lincoln, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093957474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | RS2009-0296 (New Mexico) | Secondary |
208000000X | Pediatrics | A 118510 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Shawn Michael Kreiner, MD 10470 Old Placerville Rd, #100, Sacramento, CA 95827-2539 Ph: (866) 681-0736 | Dr Shawn Michael Kreiner, MD 1900 Dresden Dr, Lincoln, CA 95648-8803 Ph: (916) 543-5500 |
Leo L. Benjamine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
Kathleen M. Fentzke, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
Stacey A. Bowman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
Richard J. Don, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
A. Elise Gerstenberger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
April Joy Bariuan Boco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-543-5500 |