Dr Kevin Connolly, MD in Templeton, CA - Medicare Interventional Radiology

Dr Kevin Connolly, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Templeton, California. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2013 and has 11 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 1310 Las Tablas Rd Ste 103, Templeton, California. You can reach out to his office (for appointments etc.) via phone at (805) 461-7080.

Dr Kevin Connolly is licensed to practice in California (license number A134205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841633948.

Contact Information

	Dr Kevin Connolly, MD
	1310 Las Tablas Rd Ste 103, Templeton, CA 93465-9746
	(805) 461-7080
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kevin Connolly
Gender	Male
Speciality	Interventional Radiology
Experience	11 Years
Location	1310 Las Tablas Rd Ste 103, Templeton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Connolly attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2013

NPI Data:

NPI Number: 1841633948
Provider Enumeration Date: 04/09/2013
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4284998063
Enrollment ID: I20190830000547

Medical Identifiers

Medical identifiers for Dr Kevin Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841633948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	BP10046400 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A134205 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Vacaville	Vacaville, CA	Hospital
Kaiser Foundation Hospital And Rehab Center	Vallejo, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kevin Connolly allows following entities to bill medicare on his behalf.

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	California Managed Imaging Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575

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. Dr Kevin Connolly 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
Dr Kevin Connolly, MD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 624-4000	Dr Kevin Connolly, MD 1310 Las Tablas Rd Ste 103, Templeton, CA 93465-9746 Ph: (805) 461-7080

Reviews and Comments

Radiology Doctors in Templeton, CA

Elizabeth Michelle Vogler, MD Radiology Medicare: Medicare Enrolled Practice Location: 262 Posada Ln, Ste C, Templeton, CA 93465 Phone: 805-434-1491 Fax: 805-434-4997
Dr. Arthur C. Duberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 Las Tablas Rd, Suite 103, Templeton, CA 93465 Phone: 805-461-7080 Fax: 805-464-0243
James F Longo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 274 Heather Ct, Templeton, CA 93465 Phone: 805-434-1859 Fax: 805-434-2383
Dr. William M. Russell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 Las Tablas Rd, Suite 103, Templeton, CA 93465 Phone: 805-461-7080 Fax: 805-464-0243
Daniel Young Shin, MD Radiology Medicare: Medicare Enrolled Practice Location: 262 Posada Ln, Ste C, Templeton, CA 93465 Phone: 805-434-1491 Fax: 805-434-4997
Dr. Erik M. Olson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1310 Las Tablas Rd, Suite 103, Templeton, CA 93465 Phone: 805-461-7080 Fax: 805-464-0243
James Poole Cartland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 262 Posada Ln, Suite C, Templeton, CA 93465 Phone: 805-434-1494 Fax: 805-434-4998

Dr Kevin Connolly, MD - Medicare Interventional Radiology in Templeton, CA