Kevin Kollenkark, - Medicare Nurse Anesthetist, Certified Registered in Clovis, CA

Kevin Kollenkark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clovis, California. His current practice location is 2755 Herndon Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 324-4000.

Kevin Kollenkark is licensed to practice in California (license number NA3684) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871767558.

Contact Information

Kevin Kollenkark,
2755 Herndon Ave,
Clovis, CA 93611-6800
(559) 324-4000
Not Available

Map and Direction




Provider's Profile

Full NameKevin Kollenkark
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2755 Herndon Ave, Clovis, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871767558
  • Provider Enumeration Date: 04/15/2008
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5496819278
  • Enrollment ID: I20090122000325

Medical Identifiers

Medical identifiers for Kevin Kollenkark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871767558NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3684 (California)Secondary
367500000XNurse Anesthetist, Certified Registered NA3684 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin Kollenkark allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Kollenkark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Kollenkark,
Po Box 7096,
Stockton, CA 95267-0096

Ph: (209) 956-7725
Kevin Kollenkark,
2755 Herndon Ave,
Clovis, CA 93611-6800

Ph: (559) 324-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Clovis, CA

Mrs. Niloofar R Navaie, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2755 Herndon Ave, Clovis, CA 93611
Phone: 559-324-4000    
Lois A Swearingen, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 80 Alamos Ave, #101, Clovis, CA 93612
Phone: 559-292-1833    Fax: 559-292-1883
Norman D Bontogon, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2755 Herndon Ave, Clovis, CA 93611
Phone: 559-324-4000    
Ms. Carol Y Sliva, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2755 Herndon Ave, Clovis, CA 93611
Phone: 559-324-4000    
Abel G Garcia, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2755 Herndon Ave, Clovis, CA 93611
Phone: 559-324-4000    
Dr. Julian Panolli, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1544 N Middleburg Ln, Clovis, CA 93619
Phone: 630-205-1467    
Mr. Robert A Strobl, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2755 Herndon Ave, Clovis, CA 93611
Phone: 559-324-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.