Dr Kenneth Edwin Richter Jr, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ceres, California. His current practice location is
1904 Richland Ave, Ceres, California. You can reach out to his office (for appointments etc.) via phone at
(209) 300-8800.
Dr Kenneth Edwin Richter Jr is licensed to practice in California (license number 20A10813) 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 1174605067.
Physician's Profile
Full Name | Dr Kenneth Edwin Richter Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1904 Richland Ave, Ceres, California |
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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:
- Dr Kenneth Edwin Richter Jr attended and graduated from in
NPI Data:
- NPI Number: 1174605067
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/29/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kenneth Edwin Richter Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174605067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 20A10813 (California) | Secondary |
208D00000X | General Practice | 4168 (Arizona) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 20A10813 (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. Dr Kenneth Edwin Richter 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 |
Dr Kenneth Edwin Richter Jr, DO 3601 Pickett Rd Unit 2489, Fairfax, VA 22031-8123 Ph: (619) 203-2426 | Dr Kenneth Edwin Richter Jr, DO 1904 Richland Ave, Ceres, CA 95307-4562 Ph: (209) 300-8800 |
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