| Kellen Grace Dunn, | |
|
16 Ritter St, San Rafael, CA 94901-3323 | |
| (415) 457-8182 | |
| Not Available |
| Full Name | Kellen Grace Dunn |
|---|---|
| Gender | |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 16 Ritter St, San Rafael, California |
| Accepts Medicare Assignments | May be. This provider may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407654767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA66227 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ritter Center | 8123074853 | 3 |
| Equity Health | 3072644673 | 6 |
| Entity Name | Ritter Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417370032 PECOS PAC ID: 8123074853 Enrollment ID: O20050518000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellen Grace Dunn, 16 Ritter St, San Rafael, CA 94901-3323 Ph: (415) 457-8182 | Kellen Grace Dunn, 16 Ritter St, San Rafael, CA 94901-3323 Ph: (415) 457-8182 |
Miranda Minh-han Nguyen, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 415-492-3333 |
Miguel Serrato, ATC OT-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, San Rafael, CA 94901 Phone: 415-457-4440 |
Page Tenley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 H St, San Rafael, CA 94901 Phone: 415-459-4907 |
Phyllis Won, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Thi Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, San Rafael, CA 94901 Phone: 415-457-4440 |
Chantilay Ruffin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, Meadowlands 302, San Rafael, CA 94901 Phone: 415-482-3571 |
Nicole M Newhauser, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Civic Center Dr Ste 209, San Rafael, CA 94903 Phone: 415-925-8963 |