John A Kermen, DO | |
700 River Dr, Fort Bragg, CA 95437-5403 | |
(707) 961-1234 | |
Not Available |
Full Name | John A Kermen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 700 River Dr, Fort Bragg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306896428 | NPI | - | NPPES |
00AX66690 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20A6669 (California) | Primary |
Entity Name | Melissa A Baxter |
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Entity Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Entity Identifiers | NPI Number: 1821010091 PECOS PAC ID: 3870486418 Enrollment ID: I20130708000189 |
Entity Name | Sonora Anesthesia Services A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265481105 PECOS PAC ID: 7315911567 Enrollment ID: O20040823001498 |
Entity Name | Anesthesia Associates Of Chico |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770666034 PECOS PAC ID: 9032166152 Enrollment ID: O20050331001090 |
Entity Name | First Choice Anesthesia Consultants Of Northern California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568749570 PECOS PAC ID: 8628231537 Enrollment ID: O20120511000306 |
Entity Name | Uap Sacramento, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245644863 PECOS PAC ID: 2860612330 Enrollment ID: O20141003002026 |
Mailing Address | Practice Location Address |
---|---|
John A Kermen, DO Po Box 34120, Reno, NV 89533-4120 Ph: (775) 747-5050 | John A Kermen, DO 700 River Dr, Fort Bragg, CA 95437-5403 Ph: (707) 961-1234 |