Miss Carly Ann Kindbom, PA-C in Philadelphia, PA

Miss Carly Ann Kindbom, PA-C is a medicare enrolled "Physician Assistant" in Philadelphia, Pennsylvania. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Penn - Medical Group and her current practice location is 3400 Civic Center Blvd., East Pavilion, 2nd Floor, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 615-4949.

Miss Carly Ann Kindbom is licensed to practice in Pennsylvania (license number MA058356) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609244300.

Contact Information

	Miss Carly Ann Kindbom, PA-C
	3400 Civic Center Blvd., East Pavilion, 2nd Floor, Philadelphia, PA 19104-4306
	(215) 615-4949
	(215) 615-0829

Map and Direction

Provider's Profile

Full Name	Miss Carly Ann Kindbom
Gender	Female
Speciality	Physician Assistant
Experience	9 Years
Location	3400 Civic Center Blvd., Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Carly Ann Kindbom graduated from nursing school in 2015

NPI Data:

NPI Number: 1609244300
Provider Enumeration Date: 09/11/2015
Last Update Date: 12/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7416267877
Enrollment ID: I20170214001756

Medical Identifiers

Medical identifiers for Miss Carly Ann Kindbom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609244300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	MA058356 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn - Medical Group	6204730955	3031

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Carly Ann Kindbom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Carly Ann Kindbom, PA-C 3400 Spruce St, 9 Gates, Philadelphia, PA 19104-4238 Ph: (215) 662-7355	Miss Carly Ann Kindbom, PA-C 3400 Civic Center Blvd., East Pavilion, 2nd Floor, Philadelphia, PA 19104-4306 Ph: (215) 615-4949

Reviews and Comments

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Miss Carly Ann Kindbom, PA-C - Medicare Physician Assistant in Philadelphia, PA