Kenneth D Mccarty, MD | |
7000 Boulder Ave, Highland, CA 92346-3348 | |
(909) 792-2605 | |
Not Available |
Full Name | Kenneth D Mccarty |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7000 Boulder Ave, Highland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811922685 | NPI | - | NPPES |
00A718140 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A71814 (California) | Primary |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Mailing Address | Practice Location Address |
---|---|
Kenneth D Mccarty, MD Po Box 2200, Redlands, CA 92373-0722 Ph: (909) 792-2605 | Kenneth D Mccarty, MD 7000 Boulder Ave, Highland, CA 92346-3348 Ph: (909) 792-2605 |
Raymond Sedgh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Paul P Pham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Steve C Na, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Anh The Nong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Hao Ngoc Thai, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 27843 Rainbow Ln, Highland, CA 92346 Phone: 909-838-7061 | |
Dr. Audrey Chu Yun, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Philip W Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 |