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

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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 NameKellie Corcoran
GenderFemale
SpecialityObstetrics & Gynecology
Location3900 Lakeville Hwy, Petaluma, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1760817258NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & 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 NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameChapa-de Indian Health Program, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114057163
PECOS PAC ID: 4981688520
Enrollment ID: O20040614000473
Entity NameKamras And Polansky Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.