Kevin Ryan Eitel, PA-C in Menlo Park, CA - Medicare Physician Assistant

Kevin Ryan Eitel, PA-C is a medicare enrolled "Physician Assistant" physician in Menlo Park, California. His current practice location is 325 Sharon Park Dr Ste F3, Menlo Park, California. You can reach out to his office (for appointments etc.) via phone at (888) 663-6331.

Kevin Ryan Eitel is licensed to practice in California (license number 58942) 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 1811583263.

Contact Information

	Kevin Ryan Eitel, PA-C
	325 Sharon Park Dr Ste F3, Menlo Park, CA 94025-6848
	(888) 663-6331
	Not Available

Physician's Profile

Full Name	Kevin Ryan Eitel
Gender	Male
Speciality	Physician Assistant
Location	325 Sharon Park Dr Ste F3, Menlo Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811583263
Provider Enumeration Date: 12/18/2020
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9537572250
Enrollment ID: I20210119000854

Medical Identifiers

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

Identifier	Type	State	Issuer
1811583263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	PA58942 (California)	Secondary
363A00000X	Physician Assistant	58942 (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. Kevin Ryan Eitel 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 Ryan Eitel, PA-C 1669 Laurel St, San Carlos, CA 94070-5216 Ph: (650) 888-6733	Kevin Ryan Eitel, PA-C 325 Sharon Park Dr Ste F3, Menlo Park, CA 94025-6848 Ph: (888) 663-6331

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Kevin Ryan Eitel, PA-C - Medicare Physician Assistant in Menlo Park, CA