| Dr Samuel Branch Kieley, MD | |
|
116 S Palisade Dr Ste 110, Santa Maria, CA 93454-8905 | |
| (805) 349-7133 | |
| (805) 349-7137 |
| Full Name | Dr Samuel Branch Kieley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 18 Years |
| Location | 116 S Palisade Dr Ste 110, Santa Maria, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003058546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A130815 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Health Home Health | Santa maria , CA | Home health agency |
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| French Hospital Medical Center | San luis obispo, CA | Hospital |
| Lompoc Valley Medical Center | Lompoc, CA | Hospital |
| Santa Barbara Cottage Hospital | Santa barbara, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Associates Of The Central Coast | 4486750049 | 13 |
| Entity Name | Urology Associates of the Central Coast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881785764 PECOS PAC ID: 4486750049 Enrollment ID: O20070428000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Branch Kieley, MD 225 Prado Rd Ste D, San Luis Obispo, CA 93401-7363 Ph: (805) 786-2500 | Dr Samuel Branch Kieley, MD 116 S Palisade Dr Ste 110, Santa Maria, CA 93454-8905 Ph: (805) 349-7133 |
Dr. Michael Anthony Avallone, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 Phone: 805-349-7133 Fax: 805-349-7137 |
Richard L Ontell, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 821 E Chapel, Suite 103, Santa Maria, CA 93454 Phone: 805-925-1822 Fax: 805-925-0667 |
Brett Daniel Lebed, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 Phone: 805-349-7133 Fax: 805-349-7137 |