| Eliud Maina Kamana, | |
|
315 Hospital Dr, Madison, TN 37115-5030 | |
| (949) 800-9773 | |
| Not Available |
| Full Name | Eliud Maina Kamana |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 315 Hospital Dr, Madison, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235808916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0000242402 (Tennessee) | Primary |
| 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 |
|---|---|
| Eliud Maina Kamana, 101 Spade Leaf Blvd Apt 435, Hendersonville, TN 37075-3792 Ph: (949) 800-9773 | Eliud Maina Kamana, 315 Hospital Dr, Madison, TN 37115-5030 Ph: (949) 800-9773 |
Patrick Grant Moss, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Carson Stafford, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Hayden Wood, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Krupa Master, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Angelica Ian Cabrera Bautista, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Leah R Olley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Kristopher Nelson, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 |