| Christine Denise Kilcline, MD | |
|
892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401-8054 | |
| (805) 544-5567 | |
| (805) 544-3265 |
| Full Name | Christine Denise Kilcline |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 27 Years |
| Location | 892 Aerovista Pl Ste 120, San Luis Obispo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093724791 | NPI | - | NPPES |
| A72400 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NP0225X | Dermatology - Pediatric Dermatology | A72400 (California) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | A72400 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Family Dermatology Pc | 3678899051 | 5 |
| Entity Name | Valley Childrens Specialty Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013968296 PECOS PAC ID: 9638072614 Enrollment ID: O20040128000542 |
| Entity Name | Coastal Family Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174927073 PECOS PAC ID: 3678899051 Enrollment ID: O20150302001308 |
| Entity Name | Valley Childrens Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Denise Kilcline, MD 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401-8054 Ph: (805) 544-5567 | Christine Denise Kilcline, MD 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401-8054 Ph: (805) 544-5567 |
Dr. Shirley Lynne Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 862 Aerovista Pl Ste 100, San Luis Obispo, CA 93401 Phone: 805-549-8023 Fax: 805-549-8252 | |
Lisa Lindvall Aquino, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 990 Pacific St, San Luis Obispo, CA 93401 Phone: 805-544-5567 Fax: 805-544-5567 | |
Ronnie M Abraham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 Phone: 805-548-1550 Fax: 805-623-1595 | |
John Barry Siebenlist, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St, Suite 220, San Luis Obispo, CA 93401 Phone: 805-541-0668 Fax: 805-541-8213 | |
Charles B. Fishman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St, Suite 410, San Luis Obispo, CA 93401 Phone: 805-541-4180 Fax: 805-541-2542 | |
Robert Jeffrey Herten, MD Dermatology Medicare: Medicare Enrolled Practice Location: 15 Santa Rosa St, San Luis Obispo, CA 93405 Phone: 805-541-2650 Fax: 805-541-4043 |