Kirk G Andrus, MD is a medicare enrolled "Family Medicine" physician in Kelseyville, California. His current practice location is
4135 Main St, Kelseyville, California. You can reach out to his office (for appointments etc.) via phone at
(707) 279-1888.
Kirk G Andrus is licensed to practice in California (license number G34543) 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 1699789891.
Physician's Profile
| Full Name | Kirk G Andrus |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 4135 Main St, Kelseyville, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699789891
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779496518
- Enrollment ID: I20031107000636
Medical Identifiers
Medical identifiers for Kirk G Andrus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699789891 | NPI | - | NPPES |
| 00G345430 | Medicaid | CA | |
| G34543 | Other | CA | CA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | G34543 (California) | Primary |
| 207P00000X | Emergency Medicine | G34543 (California) | Secondary |
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. Kirk G Andrus allows following entities to bill medicare on his behalf.
| Entity Name | Hospice Service Of Lake County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801893177
PECOS PAC ID: 2961669932
Enrollment ID: O20170828001329 |
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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. Kirk G Andrus 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 |
|---|
Kirk G Andrus, MD
4135 Main St,
Kelseyville, CA 95451-8941
Ph: (707) 279-1888 | Kirk G Andrus, MD
4135 Main St,
Kelseyville, CA 95451-8941
Ph: (707) 279-1888 |
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