Dr Kenneth J Wilkens, MD | |
26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | |
(949) 364-2154 | |
(949) 364-2110 |
Full Name | Dr Kenneth J Wilkens |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Orthopaedic Trauma |
Location | 26730 Crown Valley Pkwy, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679519649 | NPI | - | NPPES |
I28424 | Other | CA | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | A80116 (California) | Primary |
Entity Name | Acute Care Surgery Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth J Wilkens, MD 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 Ph: (949) 364-2154 | Dr Kenneth J Wilkens, MD 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 Ph: (949) 364-2154 |
Michael S Marandola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691 Phone: 949-348-4000 | |
Kent R Adamson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691 Phone: 949-348-4000 Fax: 949-348-4090 | |
Herbert Eidt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Phone: 949-364-2154 Fax: 949-364-2110 | |
Dr. Mark E. Elzik, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Phone: 949-364-2154 | |
James Benjamin Chen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691 Phone: 949-348-4000 Fax: 949-348-7466 | |
Dr. Gary Jack Phipps, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 26720 Crown Valley Parkway, Suite 200, Mission Viejo, CA 92691 Phone: 949-364-2154 Fax: 949-364-2110 | |
Evan Michael Guerrero, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691 Phone: 949-348-4020 Fax: 949-348-7466 |