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Michael Andrew Krak

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL KRAK.

Based on the most recent information from CMS, provider Michael Andrew Krak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1063094225
Provider Type
Individual
Full Name
Krak, Michael Andrew
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/26/2021
Last Updated
7/16/2024

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 966-8800

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A193040 California

Michael Andrew Krak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Katheria, Anup

Rhee, Kyung E

Manriquez-Castillo, Erendira

Boies, Eyla G.

Willies-Jacobo, Linidia J

Rana, Deborah T

Clark, Patricia Chu

Powell, Stephanie J

Atari, Ealla

Bartoletti, Joseph John