Amy Nicole Mckenney, DO | |
1250 16th St, Santa Monica, CA 90404-1249 | |
(310) 319-4698 | |
(310) 319-4908 |
Full Name | Amy Nicole Mckenney |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 2 Years |
Location | 1250 16th St, Santa Monica, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689239410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 010348 (Arizona) | Secondary |
207R00000X | Internal Medicine | 19715 (California) | Secondary |
208M00000X | Hospitalist | 20A19715 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vituity - Arizona Hospitalists Pc | 5395163745 | 60 |
Entity Name | Vituity - Arizona Hospitalists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770109704 PECOS PAC ID: 5395163745 Enrollment ID: O20200916002069 |
Mailing Address | Practice Location Address |
---|---|
Amy Nicole Mckenney, DO 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Amy Nicole Mckenney, DO 1250 16th St, Santa Monica, CA 90404-1249 Ph: (310) 319-4698 |
Christine Sun, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908 | |
Alanna Chau, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th Street, 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-219-4908 | |
Dr. Sarah Mun Yee Chan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698 | |
Dr. Josh Faguet, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511 | |
Dr. Eyong John Ly, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite A454, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908 | |
Dr. Rahul Vasavada, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Suite 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698 | |
Shreeti Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908 |