| Ken Kim Kristofferson, PA | |
|
7420 Remcon Circle, Bldg. A, El Paso, TX 79912 | |
| (915) 532-8823 | |
| (915) 532-5909 |
| Full Name | Ken Kim Kristofferson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 7420 Remcon Circle, El Paso, Texas |
| 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 |
|---|---|---|---|
| 1154341584 | NPI | - | NPPES |
| PA02936 | Other | TX | PA LICENSE |
| 192820202 | Medicaid | TX | |
| 76300323 | Medicaid | NM | |
| 192820203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02936 (Texas) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA02936 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Las Palmas Medical Center | El paso, TX | Hospital |
| The Hospitals Of Providence - Memorial Campus | El paso, TX | Hospital |
| The Hospitals Of Providence - Sierra Campus | El paso, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rio Grande Urology Pa | 3476627878 | 29 |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Kim Kristofferson, PA 7420 Remcon Cir, Bldg A, El Paso, TX 79912-3529 Ph: (915) 532-8823 | Ken Kim Kristofferson, PA 7420 Remcon Circle, Bldg. A, El Paso, TX 79912 Ph: (915) 532-8823 |
Nadia Quintanilla, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6974 Gateway Blvd E, El Paso, TX 79915 Phone: 915-774-8850 | |
Victoria Alexandra Meraz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4545 N Mesa St, El Paso, TX 79912 Phone: 915-351-7546 Fax: 915-351-3545 | |
Sharon Lizeth Gonzalez, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7041 Black Ridge Dr, El Paso, TX 79912 Phone: 915-345-6110 | |
James Enrique Rodriguez Vargas, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6974 Gateway Blvd E, Ste F, El Paso, TX 79915 Phone: 915-591-2704 Fax: 915-598-3946 | |
Mr. Joseph R. Bongiorno, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 5005 N Piedras St, El Paso, TX 79920 Phone: 915-569-1386 Fax: 915-569-4890 | |
Mr. William R. Vogt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1721 N Lee Trevino Dr, El Paso, TX 79936 Phone: 915-590-9424 Fax: 915-590-9044 | |
Steven Reilly, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1729 Weston Brent Ln Ste A, El Paso, TX 79935 Phone: 915-595-1905 Fax: 915-595-1934 |