| Makenna Kummer, | |
|
2500 Merced St, San Leandro, CA 94577-4201 | |
| (510) 454-1000 | |
| Not Available |
| Full Name | Makenna Kummer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2500 Merced St, San Leandro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144863408 | NPI | - | NPPES |
| 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 |
| Entity Name | East Bay Hand Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003305236 PECOS PAC ID: 6608124284 Enrollment ID: O20180731000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Makenna Kummer, 67 Winding Gln, Alamo, CA 94507-2777 Ph: (925) 588-8683 | Makenna Kummer, 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Ms. Maria Fernanda Leyva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1566 140th Ave, San Leandro, CA 94578 Phone: 510-481-3872 |
Ms. Ann Hazen Whisenant, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 925-215-2251 |
Jordan L Lalonde, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13855 E 14th St, San Leandro, CA 94578 Phone: 510-357-6500 |
Paul Jean Loo Dwight, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Dolores Ave, San Leandro, CA 94577 Phone: 510-984-2489 Fax: 510-788-6830 |
Christine My-ha Le, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16110 E 14th St, San Leandro, CA 94578 Phone: 510-398-7500 |
David G Ross, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13939 E 14th St, Suite 150, San Leandro, CA 94578 Phone: 510-343-8300 Fax: 510-343-8301 |
Mr. Craig A Humes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2410 Merced St, San Leandro, CA 94577 Phone: 510-278-2700 |