Kimberley A Hanneken, MD | |
260 Hospital Dr, Suite 209, Ukiah, CA 95482-4568 | |
(707) 463-7488 | |
(707) 462-7846 |
Full Name | Kimberley A Hanneken |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 260 Hospital Dr, Ukiah, 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 |
---|---|---|---|
1215047782 | NPI | - | NPPES |
1043486731 | Other | IL | HEALTH ALLIANCE |
036094217 | Medicaid | IL | |
216239 | Other | IL | MEDICARE GROUP PTAN |
1326041229 | Other | IL | MEDICARE GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 036094217 (Illinois) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | G136098 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ukiah Adventist Hospital | 6406816123 | 104 |
Entity Name | Adventist Health Physicians Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Mailing Address | Practice Location Address |
---|---|
Kimberley A Hanneken, MD 260 Hospital Dr, Suite 209, Ukiah, CA 95482-4568 Ph: (707) 463-7488 | Kimberley A Hanneken, MD 260 Hospital Dr, Suite 209, Ukiah, CA 95482-4568 Ph: (707) 463-7488 |
Dr. James Herron Katzel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 James Street, Ukiah, CA 95482 Phone: 707-462-2491 | |
Graham T Chelius, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 103, Ukiah, CA 95482 Phone: 707-467-3123 Fax: 707-462-3063 | |
Dr. Kristen S Stehling, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 S School St, Ukiah, CA 95482 Phone: 707-760-7249 Fax: 707-221-1112 | |
Cara Eberhardt, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 260 Hospital Dr, Ukiah, CA 95482 Phone: 707-467-3123 | |
Mr. German Cuadra, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 333 Laws Ave, Ukiah, CA 95482 Phone: 707-468-1010 Fax: 717-462-7532 | |
Dr. Patricia Anne Serio, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 630 Kings Ct, Ukiah, CA 95482 Phone: 707-468-7700 Fax: 707-468-7733 |