Kerry L Kikuchi, MD | |
500 Medical Center Blvd, Webster, TX 77598-4220 | |
(281) 338-3110 | |
(281) 338-3352 |
Full Name | Kerry L Kikuchi |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 500 Medical Center Blvd, Webster, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295711208 | NPI | - | NPPES |
167957301 | Medicaid | TX | |
8G6286 | Other | TX | BCBSTX PROV NO |
167957302 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L8766 (Texas) | Primary |
Entity Name | Chandler Emergency Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104871961 PECOS PAC ID: 1658272968 Enrollment ID: O20040120000160 |
Mailing Address | Practice Location Address |
---|---|
Kerry L Kikuchi, MD 2921 Sea Channel Dr, Seabrook, TX 77586-1641 Ph: (281) 326-7626 | Kerry L Kikuchi, MD 500 Medical Center Blvd, Webster, TX 77598-4220 Ph: (281) 338-3110 |
Dr. Sergey Sergeyevich Potepalov, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Medical Center Blvd, Department Of Emergency Medicine, Webster, TX 77598 Phone: 281-338-3708 Fax: 281-338-3224 | |
Dr. Eziuche M Nwakanma, M.D, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Blossom St, Webster, TX 77598 Phone: 832-632-6500 Fax: 832-632-6855 | |
Dr. Mai P Nguyen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 W Nasa Parkway, Webster, TX 77598 Phone: 832-932-5990 Fax: 832-932-5992 | |
Yolonda Bourgeois, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Medical Center Blvd, Webster, TX 77598 Phone: 281-338-3110 Fax: 281-338-3352 | |
Jason M Karanja, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 | |
Dr. Zachary Moore, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 |