Kevin Ryan Eitel, PA-C is a medicare enrolled "Physician Assistant" physician in San Mateo, California. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice One Medical Group Inc and his current practice location is
2950 S Delaware St Ste 150, San Mateo, California. You can reach out to his office (for appointments etc.) via phone at
(888) 663-6331.
Kevin Ryan Eitel is licensed to practice in California (license number 58942) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811583263.
Physician's Profile
| Full Name | Kevin Ryan Eitel |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 2950 S Delaware St Ste 150, San Mateo, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Ryan Eitel graduated from medical school in 2020
NPI Data:
- NPI Number: 1811583263
- Provider Enumeration Date: 12/18/2020
- Last Update Date: 03/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537572250
- Enrollment ID: I20210119000854
Medical Identifiers
Medical identifiers for Kevin Ryan Eitel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811583263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | PA58942 (California) | Secondary |
| 363A00000X | Physician Assistant | 58942 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| One Medical Group Inc | 2567623739 | 336 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Ryan Eitel is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Ryan Eitel, PA-C
1669 Laurel St,
San Carlos, CA 94070-5216
Ph: (650) 888-6733 | Kevin Ryan Eitel, PA-C
2950 S Delaware St Ste 150,
San Mateo, CA 94403-2591
Ph: (888) 663-6331 |
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