| Mrs Lisa Jean Kinney-ham, MD | |
|
2185 Citracado Pkwy, Escondido, CA 92029-4159 | |
| (442) 281-5000 | |
| Not Available |
| Full Name | Mrs Lisa Jean Kinney-ham |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 2185 Citracado Pkwy, Escondido, 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 |
|---|---|---|---|
| 1568635399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A109355 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arrowhead Regional Medical Center | Colton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scripps Health | 9234033853 | 1388 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Jean Kinney-ham, MD 4303 Sea Bright Dr, Carlsbad, CA 92008-3627 Ph: (909) 725-8204 | Mrs Lisa Jean Kinney-ham, MD 2185 Citracado Pkwy, Escondido, CA 92029-4159 Ph: (442) 281-5000 |
Brad Lynn Schwartz, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
John C. Fredericks, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
Dr. Erica Bailey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-1072 | |
John S. Anshus, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
Jennifer P Cohen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 N Ash St, Escondido, CA 92027 Phone: 760-385-3739 Fax: 888-800-8266 | |
Russell W. Engevik, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
John C. Gill, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 |