Kevin Irving Stroh, DPM is a medicare enrolled "Podiatrist" provider in Lodi, California. He went to California School Of Podiatric Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Lodi Podiatry Group and his current practice location is
1300 W Lodi Ave, Ste W, Lodi, California. You can reach out to his office (for appointments etc.) via phone at
(209) 334-6664.
Kevin Irving Stroh is licensed to practice in California (license number E3467) 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 1104829431.
Healthcare Provider's Profile
| Full Name | Kevin Irving Stroh |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 38 Years |
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| Location | 1300 W Lodi Ave, Lodi, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Irving Stroh attended and graduated from California School Of Podiatric Medicine in 1986
NPI Data:
- NPI Number: 1104829431
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 05/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 3577549443
- Enrollment ID: I20100921001399
Medical Identifiers
Medical identifiers for Kevin Irving Stroh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104829431 | NPI | - | NPPES |
| 000E34670 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E34670 (California) | Secondary |
| 213E00000X | Podiatrist | E3467 (California) | Primary |
| 213ER0200X | Podiatrist - Radiology | E3467 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lodi Podiatry Group | 4789709262 | 3 |
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. Kevin Irving Stroh allows following entities to bill medicare on his behalf.
| Provider Name | Lodi Podiatry Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750360699
PECOS PAC ID: 4789709262
Enrollment ID: O20100921000933 |
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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. Kevin Irving Stroh 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 |
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Kevin Irving Stroh, DPM
1300 W Lodi Ave, Ste W,
Lodi, CA 95242-3037
Ph: (209) 334-6664 | Kevin Irving Stroh, DPM
1300 W Lodi Ave, Ste W,
Lodi, CA 95242-3037
Ph: (209) 334-6664 |
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