| Danielle Lauren Kinney, | |
|
565 N Del Prado St, Tracy, CA 95391-1254 | |
| (209) 679-8906 | |
| Not Available |
| Full Name | Danielle Lauren Kinney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 565 N Del Prado St, Tracy, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932860731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 60734 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 | Altamont Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952392375 PECOS PAC ID: 5496700759 Enrollment ID: O20050318000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Lauren Kinney, 565 N Del Prado St, Tracy, CA 95391-1254 Ph: (209) 679-8906 | Danielle Lauren Kinney, 565 N Del Prado St, Tracy, CA 95391-1254 Ph: (209) 679-8906 |
Mr. Stelios Katzakis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1420 N Tracy Blvd, Tracy, CA 95376 Phone: 209-832-6018 |
Hazrat G. Rafah, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Glenbriar Cir, Tracy, CA 95377 Phone: 661-917-8500 |
Kathryn Tiano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 N Tracy Blvd, Tracy, CA 95376 Phone: 209-835-8910 |
Ms. Michelle Y Street, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 23,500 Kasson Rd, Tracy, CA 95378 Phone: 209-835-4141 |
Rayan K Shammet, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2851 Hidden Valley Ct, Tracy, CA 95377 Phone: 209-606-0246 |
Daniel S Mckim, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1700 N Chrisman Rd, Tracy, CA 95304 Phone: 925-759-4987 |
Zachary J Whipple, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 445 W Eaton Ave, Tracy, CA 95376 Phone: 209-830-4062 |