| Dr Michael Grant Kent, MD | |
|
3307 Renner Dr, Fortuna, CA 95540-3119 | |
| (707) 725-9832 | |
| (707) 725-7247 |
| Full Name | Dr Michael Grant Kent |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 3307 Renner Dr, Fortuna, 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 |
|---|---|---|---|
| 1841429339 | NPI | - | NPPES |
| 036139694 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A151367 (California) | Primary |
| 208600000X | Surgery | 4301095163 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health System Corp | Janesville, WI | Hospital |
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 757 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Grant Kent, MD 200 W Center Street Promenade Ste 400, Anaheim, CA 92805-3960 Ph: (714) 449-4841 | Dr Michael Grant Kent, MD 3307 Renner Dr, Fortuna, CA 95540-3119 Ph: (707) 725-9832 |
Dr. Cassandra Ann Kennedy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-9832 Fax: 707-725-7247 | |
Brandon Eugene Bireley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3307 Renner Dr, Fortuna, CA 95540 Phone: 707-725-7390 |