Eileen R Kalk, PA is a medicare enrolled "Physician Assistant" in Kelseyville, California. Her current practice location is
4135 Main St, Kelseyville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 279-1888.
Eileen R Kalk is licensed to practice in California (license number 17682) 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 1538268016.
Provider's Profile
| Full Name | Eileen R Kalk |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 4135 Main St, Kelseyville, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538268016
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 12/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 3375605546
- Enrollment ID: I20081222000542
Medical Identifiers
Medical identifiers for Eileen R Kalk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538268016 | NPI | - | NPPES |
| 17682 | Other | CA | PA LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 17682 (California) | Primary |
| 225100000X | Physical Therapist | PT10212 (California) | Secondary |
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. Eileen R Kalk 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 |
|---|
Eileen R Kalk, PA
975 Page Dr,
Lakeport, CA 95453-3419
Ph: (707) 263-1855 | Eileen R Kalk, PA
4135 Main St,
Kelseyville, CA 95451-8941
Ph: (707) 279-1888 |
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