| Dr Kenneth B Fryer, MD | |
|
862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | |
| (805) 541-4600 | |
| (805) 541-3293 |
| Full Name | Dr Kenneth B Fryer |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 862 Meinecke Ave, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962576959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G21824 (California) | Primary |
| Entity Name | Central Coast Orthopedic Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871537779 PECOS PAC ID: 8426945916 Enrollment ID: O20040301000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth B Fryer, MD 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 Ph: (805) 541-4600 | Dr Kenneth B Fryer, MD 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 Ph: (805) 541-4600 |
Dr. Ernest Burton Miller, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 620 California Blvd, Suite Q, San Luis Obispo, CA 93401 Phone: 805-541-0502 Fax: 805-541-0503 | |
Dr. Kenneth Leslie Baldwin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1304 Ella St, Ste B-1, San Luis Obispo, CA 93401 Phone: 805-546-8662 Fax: 805-546-8665 | |
Dr. Ryan Filler, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 862 Meinecke Ave Ste 100, San Luis Obispo, CA 93405 Phone: 805-541-4600 Fax: 805-541-8716 | |
Dr. Evelyn Renee Smith, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 842 California Blvd, San Luis Obispo, CA 93401 Phone: 805-542-9678 Fax: 805-542-9685 | |
Dr. Matthew Joseph Sabatino, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 862 Meinecke Ave Ste 100, San Luis Obispo, CA 93405 Phone: 805-541-4600 Fax: 805-541-3566 | |
James P. Schilz, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1304 Ella St Ste A, San Luis Obispo, CA 93401 Phone: 805-549-9555 Fax: 805-549-0444 | |
Dr. Sean D Devine, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405 Phone: 805-541-4600 Fax: 805-541-3566 |