Kirk G Andrus, MD is a
Family Medicine physician based in Kelseyville, California. Kirk G Andrus is licensed to practice in California (license number G34543) and his current practice location is 4135 Main St, Kelseyville, California. He can be reached at his office (for appointments etc.) via phone at
(707) 279-1888.
NPI number for Kirk G Andrus is 1699789891 and his current mailing address is 4135 Main St, Kelseyville, California. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699789891
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 03/07/2023
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 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
NOT enrolled with medicare and thus cannot 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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