Kenneth Earl Averill Jr, MD - Medicare Diagnostic Radiology in Santa Cruz, CA

  1. Home
  2. Radiology
  3. CA
  4. Santa Cruz
Kenneth Earl Averill Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Santa Cruz, California. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Medical Group Of Santa Cruz County Inc and his current practice location is 1661 Soquel Dr, Bldg G, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at (831) 476-7711.

Kenneth Earl Averill Jr is licensed to practice in California (license number G68088) 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 1538182712.

Contact Information

Kenneth Earl Averill Jr, MD
1661 Soquel Dr, Bldg G,
Santa Cruz, CA 95065-1709
(831) 476-7711
(831) 476-6189

Map and Direction




Physician's Profile

Full NameKenneth Earl Averill Jr
GenderMale
SpecialityDiagnostic Radiology
Experience36 Years
Location1661 Soquel Dr, Santa Cruz, 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:
  • Kenneth Earl Averill Jr graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1538182712
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 05/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3476544453
  • Enrollment ID: I20051020000572

Medical Identifiers

Medical identifiers for Kenneth Earl Averill Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538182712NPI-NPPES
009680880MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G68088 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Medical Group Of Santa Cruz County Inc266846947913

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. Kenneth Earl Averill Jr allows following entities to bill medicare on his behalf.
Entity NameRadiology Medical Group Of Santa Cruz County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962415208
PECOS PAC ID: 2668469479
Enrollment ID: O20040426001018
Entity NameMammography Center Of Monterey
Entity TypePart B Supplier - Mammography Center
Entity IdentifiersNPI Number: 1033202072
PECOS PAC ID: 6002853363
Enrollment ID: O20050408000703
Entity NameCounty Of Monterey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205863255
PECOS PAC ID: 2466345632
Enrollment ID: O20050502000456

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. Kenneth Earl Averill Jr 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
Kenneth Earl Averill Jr, MD
1661 Soquel Dr, Bldg G,
Santa Cruz, CA 95065-1709

Ph: (831) 476-1542		Kenneth Earl Averill Jr, MD
1661 Soquel Dr, Bldg G,
Santa Cruz, CA 95065-1709

Ph: (831) 476-7711

Reviews and Comments


Radiology Doctors in Santa Cruz, CA

Victor Mockus,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062
Phone: 831-458-5521    
Charlotte Y Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1575 Soquel Dr, Santa Cruz, CA 95065
Phone: 831-462-3050    
Nicholas Astromoff, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1661 Soquel Drive, Building G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-476-6189
Ka-wah Tung, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1661 Soquel Dr, Santa Cruz, CA 95065
Phone: 718-683-0390    
Roy Elias Martinez, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1661 Soquel Dr, Building G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-476-6189
Nicholas Thomas Rudnick, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1661 Soquel Dr Ste G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-462-0581
Edward Hutchinson Menges, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1661 Soquel Dr, Bldg G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-476-6189

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.