Raymond Earl Kidwell, MD in Clovis, CA - Medicare Family Practice

Raymond Earl Kidwell, MD is a medicare enrolled "Dermatology" physician in Clovis, California. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Clovis Dermatology Inc and his current practice location is 275 Herndon Avenue, Suite 131, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 298-7220.

Raymond Earl Kidwell is licensed to practice in California (license number A66131) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801978457.

Contact Information

	Raymond Earl Kidwell, MD
	275 Herndon Avenue, Suite 131, Clovis, CA 93612
	(559) 298-7220
	(559) 298-7060

Map and Direction

Physician's Profile

Full Name	Raymond Earl Kidwell
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	275 Herndon Avenue, Clovis, 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.

Medical Education and Training:

Raymond Earl Kidwell graduated from medical school in 1996

NPI Data:

NPI Number: 1801978457
Provider Enumeration Date: 10/20/2006
Last Update Date: 03/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1052406402
Enrollment ID: I20071001000607

Medical Identifiers

Medical identifiers for Raymond Earl Kidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801978457	NPI	-	NPPES
P00439927	Other	CA	RAILROAD MEDICARE
P00767385	Other	CA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A66131 (California)	Secondary
207N00000X	Dermatology	A66131 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clovis Dermatology Inc	0143525725	2

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. Raymond Earl Kidwell allows following entities to bill medicare on his behalf.

Entity Name	Clovis Dermatology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952760308 PECOS PAC ID: 0143525725 Enrollment ID: O20160218001838

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. Raymond Earl Kidwell 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
Raymond Earl Kidwell, MD 275 W Herndon Ave, Clovis, CA 93612-0204 Ph: (559) 298-7220	Raymond Earl Kidwell, MD 275 Herndon Avenue, Suite 131, Clovis, CA 93612 Ph: (559) 298-7220

Raymond Earl Kidwell, MD - Medicare Family Practice in Clovis, CA