| Dr Trieneke Ann Kylstra, MD | |
|
260 Hospital Dr, Suite 209, Ukiah, CA 95482-4533 | |
| (707) 463-8000 | |
| (707) 462-1111 |
| Full Name | Dr Trieneke Ann Kylstra |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 260 Hospital Dr, Ukiah, 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 |
|---|---|---|---|
| 1740243286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AO65110 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Trieneke Ann Kylstra, MD 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4533 Ph: (707) 463-8000 | Dr Trieneke Ann Kylstra, MD 260 Hospital Dr, Suite 209, Ukiah, CA 95482-4533 Ph: (707) 463-8000 |
Dr. James Herron Katzel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 James Street, Ukiah, CA 95482 Phone: 707-462-2491 | |
Graham T Chelius, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 103, Ukiah, CA 95482 Phone: 707-467-3123 Fax: 707-462-3063 | |
Dr. Allison M Flaim, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
William Wei, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 260 Hospital Dr Ste 103, Ukiah, CA 95482 Phone: 707-463-8000 | |
Dr. Kristen S Stehling, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 S School St, Ukiah, CA 95482 Phone: 707-760-7249 Fax: 707-221-1112 | |
Cara Eberhardt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr, Ukiah, CA 95482 Phone: 707-467-3123 | |
Kimberley A Hanneken, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 260 Hospital Dr, Suite 209, Ukiah, CA 95482 Phone: 707-463-7488 Fax: 707-462-7846 |