| Mr Mark Brien Kane, PA-C | |
|
5176 Hill Rd E, Sutter-lakeside Hospital, Attn: Emergency Department, Lakeport, CA 95453-6300 | |
| (707) 262-5017 | |
| Not Available |
| Full Name | Mr Mark Brien Kane |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 5176 Hill Rd E, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740615558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 23128 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA.0005001 (Colorado) | Primary |
| 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 | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | San Francisco Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134110661 PECOS PAC ID: 5698662518 Enrollment ID: O20040303001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Brien Kane, PA-C 1906 Blake Ave, Glenwood Springs, CO 81601-4227 Ph: (970) 384-7033 | Mr Mark Brien Kane, PA-C 5176 Hill Rd E, Sutter-lakeside Hospital, Attn: Emergency Department, Lakeport, CA 95453-6300 Ph: (707) 262-5017 |
Ms. Nichol Ann Kriz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Road East, Lakeport, CA 95453 Phone: 707-262-5000 |
Jayla Flaum, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr Ste C, Lakeport, CA 95453 Phone: 707-262-5088 |
Erin E Thurman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5150 Hill Rd E Ste E, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-263-4036 |
Amanda L Smithers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 |
Christine Anne Goold, FNP/PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5144 Hill Rd E, Lakeport, CA 95453 Phone: 707-263-8955 Fax: 707-263-8340 |
Jaques Ngakam, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-263-3746 Fax: 707-263-3749 |
Kimberly Austin Kirschner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 |