| Kyle Henderson, | |
|
200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 | |
| (925) 362-2111 | |
| Not Available |
| Full Name | Kyle Henderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 200 Porter Dr, San Ramon, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134547599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 51492 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10928 |
| 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 |
|---|---|
| Kyle Henderson, 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 Ph: Not Available | Kyle Henderson, 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 Ph: (925) 362-2111 |
Yeonah Cho, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2262 Camino Ramon # 200, San Ramon, CA 94583 Phone: 925-328-0255 |
Krystal Sun, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Park Pl Ste 200, San Ramon, CA 94583 Phone: 925-837-6000 Fax: 925-837-6011 |
Miss Elizabeth Mckenzie Kipe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Park Pl Ste 200, San Ramon, CA 94583 Phone: 925-867-1800 |
Christopher Shean Wilkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 103 Greenwich Ct, San Ramon, CA 94582 Phone: 925-628-6556 Fax: 925-828-5084 |
Gina Nakhla, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2626 Paige Way, San Ramon, CA 94582 Phone: 925-961-2460 |
Susan Solar Pers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Porter Dr, San Ramon, CA 94583 Phone: 925-838-2108 |
Manveer Hundal, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1081 Market Pl Ste 500, San Ramon, CA 94583 Phone: 669-235-4188 Fax: 669-235-4221 |