| Mr Benton Clay Kinney, PA | |
|
2865 Churn Creek Rd, Suite A, Redding, CA 96002-1117 | |
| (530) 646-7269 | |
| (530) 275-2201 |
| Full Name | Mr Benton Clay Kinney |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2865 Churn Creek Rd, Redding, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447469085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16208 (California) | Primary |
| Entity Name | Karuk Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730279423 PECOS PAC ID: 4688668387 Enrollment ID: O20040414000866 |
| Entity Name | Native American Mental Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073919171 PECOS PAC ID: 5395072490 Enrollment ID: O20190813000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benton Clay Kinney, PA 1999 Salzburg Trl, Redding, CA 96003-9334 Ph: (530) 209-5978 | Mr Benton Clay Kinney, PA 2865 Churn Creek Rd, Suite A, Redding, CA 96002-1117 Ph: (530) 646-7269 |
Vanessa Lindo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 Knollcrest Dr Ste 101, Redding, CA 96002 Phone: 530-392-4399 Fax: 530-903-4226 |
Kaylin Wittry, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 Knollcrest Dr Ste 101, Redding, CA 96002 Phone: 530-392-4399 |
Melanie Anne Catalano, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Liberty St, Redding, CA 96001 Phone: 530-224-2700 |
Carl E Tjerandsen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-6000 Fax: 818-587-2493 |
Craig Francis Kulyn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1238 West St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460 |
Thomas E. Shellenberger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Butte Street, Redding, CA 96001 Phone: 530-244-5000 |
Ryan James Zauher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-7568 |