Kimberly K Hissong, MD | |
3315 Watt Ave, Sacramento, CA 95821-3600 | |
(916) 481-6800 | |
(916) 481-1881 |
Full Name | Kimberly K Hissong |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 3315 Watt Ave, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194832006 | NPI | - | NPPES |
107005891101 | Other | UT | IHC |
36403 | Other | UT | PEHP |
416939 | Other | UT | DESERET MUTUAL |
09300 | Other | CA | VALLEY CHILDRENS HEALTHCARE |
PR00880 | Other | UT | MOLINA |
2403 | Other | UT | HEALTHY U |
002084559 | Other | UT | FIRST HEALTH |
870280408HI1 | Other | UT | EDUCATORS MUTUAL |
2000040 | Other | UT | UNITED HEALTHCARE |
QM0000049524 | Other | UT | ALTIUS |
002966900 | Medicaid | ID | |
111000400 | Medicaid | WY | |
401765 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 185262-1205 (Utah) | Secondary |
207L00000X | Anesthesiology | C139617 (California) | Primary |
Entity Name | Central Anesthesia Service Exchange Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194826404 PECOS PAC ID: 9638082530 Enrollment ID: O20031119000608 |
Mailing Address | Practice Location Address |
---|---|
Kimberly K Hissong, MD 3315 Watt Ave, Sacramento, CA 95821-3600 Ph: (916) 481-6800 | Kimberly K Hissong, MD 3315 Watt Ave, Sacramento, CA 95821-3600 Ph: (916) 481-6800 |
Kristen Michelle Wellington, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3160 Folsom Blvd Ste 3500, Sacramento, CA 95816 Phone: 916-734-8616 | |
Dr. J David D'amelio, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3315 Watt Ave, Sacramento, CA 95821 Phone: 916-481-6800 Fax: 916-481-1881 | |
Harvey S. Edber, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Roger B Stephens, M. D. PHD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2288 Auburn Blvd, Suite 200, Sacramento, CA 95821 Phone: 916-564-3377 Fax: 916-564-3280 | |
William Yates, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4150 V. Street, Pssb Bldg, Suite 1200, Sacramento, CA 95817 Phone: 916-734-5028 | |
David G. Niswander, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Dr. Jeffrey Brian Walker, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3315 Watt Ave, Department Of Anesthesiology, Sacramento, CA 95821 Phone: 916-481-6800 |