Individual ProviderKelly Ann LenzAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-6800PECOS EnrollmentThis provider is enrolled in PECOS as KELLY LENZ.Based on the most recent information from CMS, provider Kelly Ann Lenz is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053305177Provider TypeIndividualFull NameLenz, Kelly AnnTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date9/2/2005Last Updated12/7/2010Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-6800Fax(916) 481-1881Mailing LocationMailing AddressPO Box 660910, Sacramento, CA 95866-0910Phone(916) 481-6800Fax(916) 481-1881Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseG76818CaliforniaProvider IdentifiersIDDescriptionIssuerIDGR0028370DescriptionMedicaidIssuerUnlistedCaliforniaIDCF644ZDescriptionOtherIssuerPTAN NUMBERCalifornia