Kristen Wikholm Kieley, MD - Medicare Diagnostic Radiology in San Luis Obispo, CA

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Kristen Wikholm Kieley, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Luis Obispo, California. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice California Managed Imaging Medical Group Inc and her current practice location is 1100 Monterey St Ste 200, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 542-9700.

Kristen Wikholm Kieley is licensed to practice in California (license number A130814) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780810606.

Contact Information

Kristen Wikholm Kieley, MD
1100 Monterey St Ste 200,
San Luis Obispo, CA 93401-3102
(805) 542-9700
(805) 542-0584

Map and Direction




Physician's Profile

Full NameKristen Wikholm Kieley
GenderFemale
SpecialityDiagnostic Radiology
Experience16 Years
Location1100 Monterey St Ste 200, San Luis Obispo, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen Wikholm Kieley graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1780810606
  • Provider Enumeration Date: 06/05/2009
  • Last Update Date: 11/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7618105479
  • Enrollment ID: I20140730001698

Medical Identifiers

Medical identifiers for Kristen Wikholm Kieley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780810606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 25161 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology 25161 (Minnesota)Secondary
2085U0001XRadiology - Diagnostic Ultrasound 25161 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology A130814 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
French Hospital Medical CenterSan luis obispo, CAHospital
Marian Regional Medical CenterSanta maria, CAHospital
Sierra Vista Regional Medical CenterSan luis obispo, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
California Managed Imaging Medical Group Inc943622988787

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. Kristen Wikholm Kieley allows following entities to bill medicare on her behalf.
Entity NameCalifornia Managed Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821271727
PECOS PAC ID: 9436229887
Enrollment ID: O20080528000575

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. Kristen Wikholm Kieley 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
Kristen Wikholm Kieley, MD
590 La Tapadera Ln,
Nipomo, CA 93444-9479

Ph: (805) 260-6785		Kristen Wikholm Kieley, MD
1100 Monterey St Ste 200,
San Luis Obispo, CA 93401-3102

Ph: (805) 542-9700

Reviews and Comments


Radiology Doctors in San Luis Obispo, CA

Dr. Gary Martin Hatch, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401
Phone: 805-542-9700    Fax: 805-542-0584
Dr. Archana C Lucchesi, M.D.
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 6729 Monte Rd, San Luis Obispo, CA 93401
Phone: 858-546-3800    Fax: 858-546-3900
Andy Hoang, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Monterey St Ste 210, San Luis Obispo, CA 93401
Phone: 805-542-9700    
Dr. Lisa Marie Wieler, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401
Phone: 805-542-9700    Fax: 805-542-0584
Dr. Jeffrey Kai Wu, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Casa St Ste C, San Luis Obispo, CA 93405
Phone: 805-541-1932    Fax: 805-541-1653
Dr. Michael Chervonski, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405
Phone: 805-546-7600    
Robert D Henretig, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401
Phone: 805-269-1313    Fax: 805-269-1387

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.