Kellen Yeonsu Na, MD | |
9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | |
(916) 691-8500 | |
(916) 691-8589 |
Full Name | Kellen Yeonsu Na |
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Gender | Female |
Speciality | Family Medicine |
Location | 9394 Big Horn Blvd, Elk Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578182606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A185495 (California) | Primary |
Entity Name | Dignity Health Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
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Kellen Yeonsu Na, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Kellen Yeonsu Na, MD 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 Ph: (916) 691-8500 |
Thomas A Bzoskie, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8170 Laguna Blvd Ste 113, Elk Grove, CA 95758 Phone: 916-478-6561 Fax: 916-478-6573 | |
Dr. Jeanne Marie Taylor, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5100 | |
Katie C Askew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758 Phone: 916-691-5900 Fax: 916-691-6736 | |
Scott C Cannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758 Phone: 916-691-5900 | |
Jose V. Sumaquial, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5000 | |
Kristin G Leach, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5000 | |
Seema Prakash Shah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd Ste 101, Elk Grove, CA 95758 Phone: 916-478-6565 |