Kevin M Moynihan, MD | |
1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | |
(209) 334-8540 | |
(209) 368-2885 |
Full Name | Kevin M Moynihan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 1901 W Kettleman Ln, Lodi, 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 |
---|---|---|---|
1982709028 | NPI | - | NPPES |
00G781610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G78161 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Roseville Medical Center | Roseville, CA | Hospital |
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Entity Name | Moynihan Family Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689210825 PECOS PAC ID: 2961832332 Enrollment ID: O20200427001149 |
Mailing Address | Practice Location Address |
---|---|
Kevin M Moynihan, MD 2545 E Bidwell St, Ste 110, Folsom, CA 95630-6443 Ph: (916) 983-8868 | Kevin M Moynihan, MD 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 Ph: (209) 334-8540 |
Frank Silvio Alvarado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 830 S Ham Lane, Suite 30, Lodi, CA 95240 Phone: 209-333-7540 Fax: 209-333-7444 | |
Michael Jay Boling, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-373-2859 | |
Richard Wyman Yee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Sutie P, Lodi, CA 95242 Phone: 209-366-1990 | |
Dr. Cha Choukao Thao, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Dr. James R Mcfarland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St # 20, Lodi, CA 95240 Phone: 209-339-7600 Fax: 209-369-4880 | |
Robert J Kellar Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 | |
Norman Dagobert Schmidt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 |