| Kerianne Mckenzie, | |
|
2067 W Vista Way Ste 250, Vista, CA 92083-6034 | |
| (951) 852-6334 | |
| Not Available |
| Full Name | Kerianne Mckenzie |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2067 W Vista Way Ste 250, Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104530401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Tpirc Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225611312 PECOS PAC ID: 4486036068 Enrollment ID: O20220728002225 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerianne Mckenzie, 9835 Jake Ln Apt 11404, San Diego, CA 92126-2972 Ph: Not Available | Kerianne Mckenzie, 2067 W Vista Way Ste 250, Vista, CA 92083-6034 Ph: (951) 852-6334 |
Abbie Epley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500 |
Megan Hogg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 969 S Santa Fe Ave # A, Vista, CA 92083 Phone: 760-941-7050 Fax: 760-941-7142 |
Mr. Steve Keith Phillips, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2243 Green Hills Way, Vista, CA 92084 Phone: 760-458-9413 |
Ms. Paula Sorrentino, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-630-5487 Fax: 760-630-2558 |
April Hebard Weaver, MPA, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 |
Elise Jordan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 910 Sycamore Ave Ste 270, Vista, CA 92081 Phone: 760-598-1776 |
Ms. Madhuri Marelli, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2302 Amstel Ln, Vista, CA 92084 Phone: 760-295-5392 |