Kevin Ryan Eitel, PA-C is a medicare enrolled "Physician Assistant" physician in Menlo Park, California. His current practice location is
325 Sharon Park Dr Ste F3, Menlo Park, California. You can reach out to his office (for appointments etc.) via phone at
(888) 663-6331.
Kevin Ryan Eitel is licensed to practice in California (license number 58942) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811583263.
Physician's Profile
Full Name | Kevin Ryan Eitel |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 325 Sharon Park Dr Ste F3, Menlo Park, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811583263
- Provider Enumeration Date: 12/18/2020
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537572250
- Enrollment ID: I20210119000854
Medical Identifiers
Medical identifiers for Kevin Ryan Eitel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811583263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA58942 (California) | Secondary |
363A00000X | Physician Assistant | 58942 (California) | Primary |
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. Kevin Ryan Eitel 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 |
Kevin Ryan Eitel, PA-C 1669 Laurel St, San Carlos, CA 94070-5216 Ph: (650) 888-6733 | Kevin Ryan Eitel, PA-C 325 Sharon Park Dr Ste F3, Menlo Park, CA 94025-6848 Ph: (888) 663-6331 |
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