| Dr Kerry John Hollenbeck, MD | |
|
5176 Hill Rd E, Lakeport, CA 95453-6300 | |
| (707) 262-5000 | |
| Not Available |
| Full Name | Dr Kerry John Hollenbeck |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 5176 Hill Rd E, Lakeport, 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 |
|---|---|---|---|
| 1225018278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A88891 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia And Analgesia Medical Group Inc | 1153316112 | 66 |
| Progressive Anesthesia Consultants Of California | 5395073803 | 13 |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Entity Name | Anesthesia & Analgesia Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659320984 PECOS PAC ID: 1153316112 Enrollment ID: O20040419000685 |
| Entity Name | Progressive Anesthesia Consultants Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558925610 PECOS PAC ID: 5395073803 Enrollment ID: O20190821004585 |
| Entity Name | Lyons Huber Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891370854 PECOS PAC ID: 4789093741 Enrollment ID: O20210504002949 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerry John Hollenbeck, MD Po Box 25033, Santa Ana, CA 92799-5033 Ph: (714) 347-1000 | Dr Kerry John Hollenbeck, MD 5176 Hill Rd E, Lakeport, CA 95453-6300 Ph: (707) 262-5000 |
Dr. Frederick L Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr, Lakeport, CA 95453 Phone: 707-263-7428 Fax: 707-263-7425 | |
Ronald J Botelho, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-1909 | |
Helen Vernetta Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr, Suite 104, Lakeport, CA 95453 Phone: 707-263-7428 Fax: 707-263-7425 | |
Harrison B Edgley Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 888-453-6625 Fax: 818-550-0909 | |
Darcene Melaac Munir, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 818-550-0900 Fax: 303-953-8260 |