| Dr Shawn Michael Kreiner, MD | |
|
1900 Dresden Dr, Lincoln, CA 95648-8803 | |
| (916) 543-5500 | |
| Not Available |
| Full Name | Dr Shawn Michael Kreiner |
|---|---|
| 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 |
|---|---|
| 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 |