Kelliann Marie Masterson (NPI# 1275046740, PAC ID# 8527318138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275046740 |
| PAC ID by PECOS | 8527318138 |
| Professional Enrollment ID | I20180831001285 |
| Full Name | Kelliann Marie Masterson |
| Organization Legal Name | MARIN HEALTHCARE DISTRICT |
| Address |
75 Rowland Way Novato CA 94945-5054 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5698818011 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050131 | NOVATO COMMUNITY HOSPITAL |
| 050360 | MARIN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 Rowland Way, Novato, CA 94945-5054 | MARIN HEALTHCARE DISTRICT | |
| 75 Rowland Way, Stes 101/104, Novato, CA 94945-5057 | 4159278591 | MARIN HEALTHCARE DISTRICT |
| 11150 California Hwy 1, Point Reyes Station, CA 94956 | 4156631082 | MARIN HEALTHCARE DISTRICT |
| Organization Legal Name | MARIN HEALTHCARE DISTRICT |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Randolph | Nurse Practitioner | Marin Healthcare District | 75 Rowland Way, Novato, CA 94945-5054 |
| Daniel Bertheau | Nurse Practitioner | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| James E Price | Cardiovascular Disease (cardiology) | Marin Healthcare District | 558 3rd St W, Sonoma, CA 95476-6502 |
| Wanda Zhao | Physician Assistant | Marin Healthcare District | 1100 S Eliseo Dr, 2a, Greenbrae, CA 94904-2017 |
| Neha S Marfatia | Internal Medicine | Marin Healthcare District | 23 Reed Blvd, Suite 120, Mill Valley, CA 94941-2301 |
| Maria Jabson Dalmacio | Nurse Practitioner | Marin Healthcare District | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 |
| Erica Sutherland | Nurse Practitioner | Marin Healthcare District | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 |
| Sebastien C Fromont | Psychiatry | Marin Healthcare District | 1341 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2000 |
| James Richard Adams | Cardiovascular Disease (cardiology) | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| David Sperling | Cardiovascular Disease (cardiology) | Marin Healthcare District | 11150 California Hwy 1, Point Reyes Station, CA 94956 |
| Street Address |
75 ROWLAND WAY |
| City | NOVATO |
| State | CA |
| Zip | 94945-5054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Randolph | Nurse Practitioner | Marin Healthcare District | 75 Rowland Way, Novato, CA 94945-5054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen J Man Son Hing | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| David A Miller | Infectious Disease | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| David L Conant | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Lindsay K Finkas | Allergy/immunology | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Zakir H Halai | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| John W Fisk Jr. | Family Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Steven H Kim | Nephrology | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| John D Culbertson | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
| Sun H Costigan | Oral Surgery | 197 San Marin Dr, Novato, CA 94945-1254 | |
| Lee M Weissman | Qualified Audiologist | 505 A San Marin Dr, Suite 130, Novato, CA 94945-1321 | |
| Find all physicians in zip 94945 | |||
| City | NOVATO |
| Zip Code | 94945 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NOVATO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelliann Marie Masterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.