Kellie Corcoran, MD in Petaluma, CA - Medicare Obstetrics & Gynecology

Kellie Corcoran, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Petaluma, California. Her current practice location is 3900 Lakeville Hwy, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 765-3900.

Kellie Corcoran is licensed to practice in California (license number A148798) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760817258.

Contact Information

	Kellie Corcoran, MD
	3900 Lakeville Hwy, Petaluma, CA 94954-5698
	(707) 765-3900
	Not Available

Map and Direction

Physician's Profile

Full Name	Kellie Corcoran
Gender	Female
Speciality	Obstetrics & Gynecology
Location	3900 Lakeville Hwy, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760817258
Provider Enumeration Date: 09/04/2013
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 1658645353
Enrollment ID: I20210615003004

Medical Identifiers

Medical identifiers for Kellie Corcoran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760817258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A148798 (California)	Primary

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. Kellie Corcoran allows following entities to bill medicare on her 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	Chapa-de Indian Health Program, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114057163 PECOS PAC ID: 4981688520 Enrollment ID: O20040614000473

Entity Name	Kamras And Polansky Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073578134 PECOS PAC ID: 3072586742 Enrollment ID: O20040819000812

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. Kellie Corcoran 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
Kellie Corcoran, MD 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: () -	Kellie Corcoran, MD 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900

Reviews and Comments

Obstetrics & Gynecology Doctors in Petaluma, CA

Fiona Redwood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7570
Dr. Julie D Clark, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954 Phone: 707-763-2900 Fax: 707-763-2990
Dr. Susan Michelle Taylor Peters, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3900 Lakeville Highway, Obstetrics And Gynecology, Petaluma, CA 94954 Phone: 707-765-3900
Laurie A. Dibble, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Bonni S. Massa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1496 Professional Dr Ste 603, Petaluma, CA 94954 Phone: 628-336-5260
Dr. Anthony P. Kosinski, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1550a Professional Drive, Suite 100, Petaluma, CA 94954 Phone: 707-763-2900 Fax: 707-763-2990
Gamin Mary Thomason, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900

Kellie Corcoran, MD - Medicare Obstetrics & Gynecology in Petaluma, CA