Kenneston Carr, MD in Vallejo, CA - Medicare Hospitalist

Kenneston Carr, MD is a medicare enrolled "Hospitalist" physician in Vallejo, California. His current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 651-1000.

Kenneston Carr is licensed to practice in California (license number G50362) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013081330.

Contact Information

	Kenneston Carr, MD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneston Carr
Gender	Male
Speciality	Hospitalist
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013081330
Provider Enumeration Date: 11/20/2006
Last Update Date: 02/02/2022

Medicare PECOS Information:

PECOS PAC ID: 5092994558
Enrollment ID: I20110131000037

Medical Identifiers

Medical identifiers for Kenneston Carr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013081330	NPI	-	NPPES
00G503620	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	G50362 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneston Carr allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kenneston Carr 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
Kenneston Carr, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262	Kenneston Carr, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000

Reviews and Comments

Hospitalist Doctors in Vallejo, CA

Ine Maria George, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Michael S. Clark, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Kimhai N. Lam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Chase T. Lambrecht, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Scot P. Johnson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Tom S. Cheng, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Kenneston Carr, MD - Medicare Hospitalist in Vallejo, CA