Carolyn G Kennis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fountain Valley, California. Her current practice location is
10900 Warner Ave, Suite 101a, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at
(714) 698-1270.
Carolyn G Kennis is licensed to practice in California (license number 000000NA1535) 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 1255413431.
Provider's Profile
Full Name | Carolyn G Kennis |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 10900 Warner Ave, Fountain Valley, 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: 1255413431
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 02/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 1153364435
- Enrollment ID: I20050607001309
Medical Identifiers
Medical identifiers for Carolyn G Kennis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255413431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 000000NA1535 (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. Carolyn G Kennis 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 |
Carolyn G Kennis, CRNA 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1000 | Carolyn G Kennis, CRNA 10900 Warner Ave, Suite 101a, Fountain Valley, CA 92708-3846 Ph: (714) 698-1270 |
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