| Kiah Connolly, | |
|
3700 Arroyo Ave, Davis, CA 95618-7105 | |
| (916) 709-6485 | |
| Not Available |
| Full Name | Kiah Connolly |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 3700 Arroyo Ave, Davis, 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 |
|---|---|---|---|
| 1932514973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A134971 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| 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 |
|---|---|
| Kiah Connolly, 3700 Arroyo Ave, Davis, CA 95618-7105 Ph: () - | Kiah Connolly, 3700 Arroyo Ave, Davis, CA 95618-7105 Ph: (916) 709-6485 |
Elyza Genilo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Sutter Pl Ste 101, Davis, CA 95616 Phone: 530-750-5830 | |
Abram Levin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Sutter Pl, Davis, CA 95616 Phone: 530-757-5111 | |
Ryan N. Gorton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Sutter Place, Davis, CA 95616 Phone: 530-756-6440 | |
Michael Palchak, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25133 County Road 96, Davis, CA 95616 Phone: 530-979-7775 Fax: 530-758-6904 | |
Kurt S. Kusserow, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Sutter Place, Davis, CA 95616 Phone: 530-756-6440 | |
David T. Walters, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Sutter Place, Davis, CA 95616 Phone: 530-756-6440 | |
Dr. Rocky P.j. Jedick, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2206 Halsey Cir, Davis, CA 95618 Phone: 614-805-5127 |