Dr Kenneth Emerson Rogers, PSYD | |
9324 W Stockton Blvd, Elk Grove, CA 95758-8012 | |
(916) 478-7716 | |
(916) 478-7760 |
Full Name | Dr Kenneth Emerson Rogers |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 9324 W Stockton Blvd, Elk Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215099163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20122 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Kenneth Emerson Rogers, PSYD 9324 W Stockton Blvd, Elk Grove, CA 95758-8012 Ph: (916) 478-7716 | Dr Kenneth Emerson Rogers, PSYD 9324 W Stockton Blvd, Elk Grove, CA 95758-8012 Ph: (916) 478-7716 |
Ms. Cherise Irby, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8260 Longleaf Dr, Elk Grove, CA 95758 Phone: 916-691-6930 | |
Angela Sherman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8260 Longleaf Dr, Elk Grove, CA 95758 Phone: 650-248-8243 | |
Dr. Paula R Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5868 Fax: 916-478-5830 | |
Dr. Marc J. Becker, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5879 | |
Alyssa Nicole Feliciano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9328 Channel Islands St, Elk Grove, CA 95624 Phone: 916-229-2940 | |
Dr. Kayla Trejo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12500 Bruceville Rd, Elk Grove, CA 95757 Phone: 916-874-3776 |