Kevin Kollenkark, in Clovis, CA - Medicare Nurse Anesthetist, Certified Registered

Kevin Kollenkark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clovis, California. His current practice location is 2755 Herndon Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 324-4000.

Kevin Kollenkark is licensed to practice in California (license number NA3684) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871767558.

Contact Information

	Kevin Kollenkark,
	2755 Herndon Ave, Clovis, CA 93611-6800
	(559) 324-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kevin Kollenkark
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2755 Herndon Ave, Clovis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871767558
Provider Enumeration Date: 04/15/2008
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 5496819278
Enrollment ID: I20090122000325

Medical Identifiers

Medical identifiers for Kevin Kollenkark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871767558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3684 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	NA3684 (California)	Primary

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. Kevin Kollenkark allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Kevin Kollenkark 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
Kevin Kollenkark, Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725	Kevin Kollenkark, 2755 Herndon Ave, Clovis, CA 93611-6800 Ph: (559) 324-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Clovis, CA

Mrs. Niloofar R Navaie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000
Lois A Swearingen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 Alamos Ave, #101, Clovis, CA 93612 Phone: 559-292-1833 Fax: 559-292-1883
Norman D Bontogon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000
Ms. Carol Y Sliva, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000
Abel G Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000
Dr. Julian Panolli, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1544 N Middleburg Ln, Clovis, CA 93619 Phone: 630-205-1467
Mr. Robert A Strobl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-324-4000

Kevin Kollenkark, - Medicare Nurse Anesthetist, Certified Registered in Clovis, CA