Dr Ken Andrew Stanley, MD - Medicare Family Practice in Carlsbad, CA

Dr Ken Andrew Stanley, MD is a medicare enrolled "Family Medicine" physician in Carlsbad, California. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Arch Health Partners Inc and his current practice location is 5411 Avenida Encinas, Suite 100, Carlsbad, California. You can reach out to his office (for appointments etc.) via phone at (760) 529-1504.

Dr Ken Andrew Stanley is licensed to practice in California (license number A91229) 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 1356493720.

Contact Information

Dr Ken Andrew Stanley, MD
5411 Avenida Encinas, Suite 100,
Carlsbad, CA 92008-4409
(760) 529-1504
Not Available

Map and Direction




Physician's Profile

Full NameDr Ken Andrew Stanley
GenderMale
SpecialityFamily Practice
Experience27 Years
Location5411 Avenida Encinas, Carlsbad, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ken Andrew Stanley graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1356493720
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 01/30/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8022031467
  • Enrollment ID: I20140605001722

Medical Identifiers

Medical identifiers for Dr Ken Andrew Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356493720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A91229 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arch Health Partners Inc9931239027221

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. Dr Ken Andrew Stanley allows following entities to bill medicare on his behalf.
Entity NameJohn R Harper Iii Md A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730192303
PECOS PAC ID: 0446286371
Enrollment ID: O20050712001190
Entity NameArch Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649500141
PECOS PAC ID: 9931239027
Enrollment ID: O20100616000715

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. Dr Ken Andrew Stanley 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 AddressPractice Location Address
Dr Ken Andrew Stanley, MD
5411 Avenida Encinas, Suite 100,
Carlsbad, CA 92008-4409

Ph: (760) 529-1504
Dr Ken Andrew Stanley, MD
5411 Avenida Encinas, Suite 100,
Carlsbad, CA 92008-4409

Ph: (760) 529-1504

Reviews and Comments


Family Medicine Doctors in Carlsbad, CA

Gary P Korff, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2562 State St Ste D, Carlsbad, CA 92008
Phone: 760-729-7186    Fax: 760-729-2753
Kinjal Sandip Madhav, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011
Phone: 760-631-3000    Fax: 760-631-3016
Dr. Russell Ronald Zane, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2176 Salk Ave, Carlsbad, CA 92008
Phone: 760-827-7210    Fax: 760-827-7215
Philip Richard Goodman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7535 Cadencia St, Carlsbad, CA 92009
Phone: 760-944-7741    
Dr. Theresa Aquino Bartolome, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2176 Salk Ave, Carlsbad, CA 92008
Phone: 760-827-7200    Fax: 760-827-7225
Juergen Gernot Winkler, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6120 Paseo Del Norte, Suite L-2, Carlsbad, CA 92011
Phone: 760-585-4616    Fax: 760-259-1380
Dr. Alisa M L Hideg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6860 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-931-6454    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.