Kandice Renee Beenken, DO | |
3750 Convoy St Ste 201, San Diego, CA 92111-3770 | |
(858) 278-8031 | |
(858) 278-1708 |
Full Name | Kandice Renee Beenken |
---|---|
Gender | Female |
Speciality | Orthopedic Surgery |
Experience | 13 Years |
Location | 3750 Convoy St Ste 201, San Diego, 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 |
---|---|---|---|
1982991501 | NPI | - | NPPES |
20A15340 | Other | CA | CA MEDICAL LICENSE |
5101019407 | Other | MI | MEDICAL LICENSE NUMBER |
DO2030 | Other | NV | NV MEDICAL LICENSE |
1982991501 | Medicaid | NV |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Duluth | Duluth, MN | Hospital |
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
St Marys Hospital Superior | Superior, WI | Hospital |
Essentia Health Virginia | Virginia, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polinsky Medical Rehabilitation Center | 0941377360 | 205 |
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Kandice Renee Beenken, DO 3750 Convoy St Ste 201, San Diego, CA 92111-3770 Ph: (858) 278-8031 | Kandice Renee Beenken, DO 3750 Convoy St Ste 201, San Diego, CA 92111-3770 Ph: (858) 278-8031 |
Michelle Marie Gosselin, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Drive, Dept Of Orthopedics, San Diego, CA 92134 Phone: 203-640-5521 | |
Eric William Edmonds, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Steven Tradonsky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7485 Mission Valley Rd, Ste 104, San Diego, CA 92108 Phone: 619-291-8930 Fax: 619-398-4989 | |
Dr. Richard D Perlman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8008 Frost St, Suite 403, San Diego, CA 92123 Phone: 858-715-9200 Fax: 858-715-9202 | |
Peter Owen Newton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Samy Gabriel, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr # Mc8894, San Diego, CA 92103 Phone: 619-543-2540 | |
Oke Adrian Anakwenze, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Convoy St Ste 201, San Diego, CA 92111 Phone: 858-300-2260 Fax: 858-300-2260 |