Dr Kevin Ray Chesebro, MD is a
Surgery physician based in Granite Bay, California. Dr Kevin Ray Chesebro is licensed to practice in California (license number G85433) and his current practice location is 9675 Swan Lake Dr, Granite Bay, California. He can be reached at his office (for appointments etc.) via phone at
(916) 797-1963.
NPI number for Dr Kevin Ray Chesebro is 1750570123 and his current mailing address is 9675 Swan Lake Dr, Granite Bay, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750570123.
Physician's Profile
| Full Name | Dr Kevin Ray Chesebro |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 9675 Swan Lake Dr, Granite Bay, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750570123
- Provider Enumeration Date: 10/22/2007
- Last Update Date: 10/22/2007
Medical Identifiers
Medical identifiers for Dr Kevin Ray Chesebro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750570123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | G85433 (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 Kevin Ray Chesebro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin Ray Chesebro, MD
9675 Swan Lake Dr,
Granite Bay, CA 95746-6608
Ph: (916) 797-1963 | Dr Kevin Ray Chesebro, MD
9675 Swan Lake Dr,
Granite Bay, CA 95746-6608
Ph: (916) 797-1963 |
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