Dr Kerry Bruce Evnin, MD in Ceres, CA - Medicare Family Medicine

Dr Kerry Bruce Evnin, MD is a medicare enrolled "Family Medicine" physician in Ceres, California. His current practice location is 3641 Mitchell Rd, Ste H, Ceres, California. You can reach out to his office (for appointments etc.) via phone at (209) 531-0154.

Dr Kerry Bruce Evnin is licensed to practice in California (license number G55240) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356536973.

Contact Information

	Dr Kerry Bruce Evnin, MD
	3641 Mitchell Rd, Ste H, Ceres, CA 95307
	(209) 531-0154
	(209) 531-0176

Map and Direction

Physician's Profile

Full Name	Dr Kerry Bruce Evnin
Gender	Male
Speciality	Family Medicine
Location	3641 Mitchell Rd, Ceres, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356536973
Provider Enumeration Date: 09/06/2007
Last Update Date: 09/19/2007

Medicare PECOS Information:

PECOS PAC ID: 3072638964
Enrollment ID: I20100922000140

Medical Identifiers

Medical identifiers for Dr Kerry Bruce Evnin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356536973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G55240 (California)	Primary

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 Kerry Bruce Evnin allows following entities to bill medicare on his behalf.

Entity Name	Brain Wellness Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902356082 PECOS PAC ID: 9133552789 Enrollment ID: O20191212000797

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 Kerry Bruce Evnin 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
Dr Kerry Bruce Evnin, MD 3641 Mitchell Rd, Ste H, Ceres, CA 95307 Ph: (209) 531-0154	Dr Kerry Bruce Evnin, MD 3641 Mitchell Rd, Ste H, Ceres, CA 95307 Ph: (209) 531-0154

Reviews and Comments

Family Medicine Doctors in Ceres, CA

Pat May Pamanian Limpiado, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2516 E Whitmore Ave, Ceres, CA 95307 Phone: 209-538-1733
Dr. Kenneth Edwin Richter Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-300-8800
Elvis M Fedalizo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2516 E Whitmore Ave, Ceres, CA 95307 Phone: 209-538-1733
Kim Ethel Goodsell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2516 E Whitmore Ave, Ceres, CA 95307 Phone: 209-538-1733
Obinna Kizito Nwachukwu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2516 E Whitmore Ave, Ceres, CA 95307 Phone: 209-538-1733
Dr. Richard Robert Rutherford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3109 E Whitmore Ave, Ceres, CA 95307 Phone: 209-541-2929

Dr Kerry Bruce Evnin, MD - Medicare Family Medicine in Ceres, CA