| Dr Michael Dennis Kifune, MD | |
|
1333 Highway 49, San Andreas, CA 95249-9618 | |
| (209) 755-1400 | |
| (209) 755-1430 |
| Full Name | Dr Michael Dennis Kifune |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 1333 Highway 49, San Andreas, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578568614 | NPI | - | NPPES |
| 00G398330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G39833 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iron Point Home Health Care Inc | Folsom, CA | Home health agency |
| Adventist Health Home Care Services | Sonora, CA | Home health agency |
| Mark Twain Medical Center | San andreas, CA | Hospital |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark Twain Medical Center | 8820073711 | 17 |
| Entity Name | Mark Twain Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Dennis Kifune, MD Po Box 939, Angels Camp, CA 95222-0939 Ph: (209) 754-6240 | Dr Michael Dennis Kifune, MD 1333 Highway 49, San Andreas, CA 95249-9618 Ph: (209) 755-1400 |
Matthew Joshua King-lung Kor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 092-754-4564 Fax: 209-942-3462 | |
Dr. Shane Michael Patterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 | |
Mr. Dean Matthew Kelaita, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Mountain Ranch Rd., San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 | |
Mrs. Sarah Margaret Grimes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-0870 Fax: 209-754-0878 |