Kevin Charles Booth, MD | |
900 Greenley Rd Ste 914, Sonora, CA 95370-5287 | |
(095) 365-7782 | |
(209) 536-5779 |
Full Name | Kevin Charles Booth |
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Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 32 Years |
Location | 900 Greenley Rd Ste 914, Sonora, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104822832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | G77956 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Sonora | Sonora, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Health Physicians Network | 3274580972 | 544 |
Sonora Community Hospital | 4284538505 | 91 |
Entity Name | Sonora Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910 |
Entity Name | Adventist Health Physicians Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Mailing Address | Practice Location Address |
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Kevin Charles Booth, MD 900 Greenley Rd Ste 914, Sonora, CA 95370-5287 Ph: (209) 536-5778 | Kevin Charles Booth, MD 900 Greenley Rd Ste 914, Sonora, CA 95370-5287 Ph: (095) 365-7782 |
Mr. Thomas James Mcdonald, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Lane, Suite 105, Sonora, CA 95370 Phone: 209-532-0126 Fax: 209-532-2950 | |
Dr. James Ivy Boyd Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Ln Ste 105, Sonora, CA 95370 Phone: 209-532-0126 Fax: 209-532-2950 | |
Dr. Airell Leighton Nygaard, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 680 Guzzi Ln, Suite 102, Sonora, CA 95370 Phone: 209-588-1800 Fax: 209-588-1700 | |
Ariana Marie Demers, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13949 Mono Way, Sonora, CA 95370 Phone: 209-533-5371 | |
Dr. John Patrick Nelligan Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Ln Ste 102, Sonora, CA 95370 Phone: 209-536-5780 Fax: 209-588-2760 |