| Mr Kevin J Offhaus, LCSW | |
|
1140 Mallard Ct, Manteca, CA 95337-6000 | |
| (805) 835-1309 | |
| Not Available |
| Full Name | Mr Kevin J Offhaus |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1140 Mallard Ct, Manteca, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366402943 | NPI | - | NPPES |
| 160743251-4 | Other | NY | PRISM |
| 9118369 | Other | CA | AETNA |
| UAW229284 U | Other | CA | VALUEOPTIONS |
| 00030241501 | Other | NY | UNIVERA |
| 647142 | Other | CA | VALUEOPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 25883 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Mr Kevin J Offhaus, LCSW 1140 Mallard Ct, Manteca, CA 95337-6000 Ph: (805) 835-1309 | Mr Kevin J Offhaus, LCSW 1140 Mallard Ct, Manteca, CA 95337-6000 Ph: (805) 835-1309 |
Katy Jenay Partan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 Cherry Ln, Manteca, CA 95337 Phone: 209-647-6200 | |
Mrs. April Jovita Givens Spiller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 408-206-8934 | |
Tanesia Rashell Paige Balumbu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-409-2485 | |
Breana Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 Cherry Ln Ste 101, Manteca, CA 95337 Phone: 209-647-6217 Fax: 209-647-6210 | |
Mariana Valencia Barragan-sanchez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1769 Star Tulip St, Manteca, CA 95337 Phone: 408-439-5873 | |
Mike Angel Lopez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 Cherry Ln Ste 101, Manteca, CA 95337 Phone: 209-647-6200 |