Mr Kevin Michael Knack Jr, NP in Mill Valley, CA

Mr Kevin Michael Knack Jr, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mill Valley, California. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Segal Telepsychiatry Network, Redwood Quality Management Company Inc and his current practice location is 655 Redwood Hwy Frontage Rd Ste 240, Mill Valley, California. You can reach out to his office (for appointments etc.) via phone at (866) 247-4292.

Mr Kevin Michael Knack Jr is licensed to practice in Washington (license number AP60313580) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376852772.

Contact Information

	Mr Kevin Michael Knack Jr, NP
	655 Redwood Hwy Frontage Rd Ste 240, Mill Valley, CA 94941-3055
	(866) 247-4292
	(866) 247-4292

Map and Direction

Provider's Profile

Full Name	Mr Kevin Michael Knack Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	655 Redwood Hwy Frontage Rd Ste 240, Mill Valley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kevin Michael Knack Jr graduated from nursing school in 2010

NPI Data:

NPI Number: 1376852772
Provider Enumeration Date: 10/02/2010
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 0345487013
Enrollment ID: I20210107001448

Medical Identifiers

Medical identifiers for Mr Kevin Michael Knack Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376852772	NPI	-	NPPES
2025451	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95014679 (California)	Secondary
163W00000X	Registered Nurse	RN60313579 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95014679 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP60313580 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Ukiah Valley	Ukiah, CA	Hospital
Adventist Health Howard Memorial	Willits, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Segal Telepsychiatry Network	1951564111	7
Redwood Quality Management Company Inc	1951666932	2

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. Mr Kevin Michael Knack Jr allows following entities to bill medicare on his behalf.

Entity Name	Segal Telepsychiatry Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245529296 PECOS PAC ID: 1951564111 Enrollment ID: O20120525000350

Entity Name	Redwood Quality Management Company Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902247786 PECOS PAC ID: 1951666932 Enrollment ID: O20180522000668

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. Mr Kevin Michael Knack Jr 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
Mr Kevin Michael Knack Jr, NP 655 Redwood Hwy Frontage Rd Ste 240, Mill Valley, CA 94941-3055 Ph: (866) 247-4292	Mr Kevin Michael Knack Jr, NP 655 Redwood Hwy Frontage Rd Ste 240, Mill Valley, CA 94941-3055 Ph: (866) 247-4292

Reviews and Comments

Nurse Practitioner Nurses in Mill Valley, CA

Susan Pauly-o'neill, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 Phone: 415-384-4778
Tina Marie Buoncristiani, P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Molino Ave, Mill Valley, CA 94941 Phone: 415-888-2568
Nancy W Selix, CNM, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 957 W California Ave, Mill Valley, CA 94941 Phone: 415-497-3029
Peggy Schwartz Chipkin, RN, NP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 158 E Blithedale Ave Ste F, Mill Valley, CA 94941 Phone: 415-389-8589
Sarah Allphin Hubbell, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 Redwood Hwy Frontage Rd Ste 1204, Mill Valley, CA 94941 Phone: 415-384-4778
Chiara Schlegel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 239 Miller Ave Ste 8, Mill Valley, CA 94941 Phone: 415-730-4235
Pearl Hoi Ma Liblin, FNP, CPN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Shoreline Hwy Apt 4, Mill Valley, CA 94941 Phone: 415-320-0297

Mr Kevin Michael Knack Jr, NP - Medicare Nurse Practitioner in Mill Valley, CA