Kenneth James, MD in Ceres, CA - Medicare Pediatrics

Kenneth James, MD is a medicare enrolled "Pediatrics" physician in Ceres, California. His current practice location is 1920 Memorial Dr, Ceres, California. You can reach out to his office (for appointments etc.) via phone at (209) 541-3000.

Kenneth James is licensed to practice in California (license number 199796) 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 1790148583.

Contact Information

	Kenneth James, MD
	1920 Memorial Dr, Ceres, CA 95307-1827
	(209) 541-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth James
Gender	Male
Speciality	Pediatrics
Location	1920 Memorial Dr, 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: 1790148583
Provider Enumeration Date: 03/30/2016
Last Update Date: 04/17/2025

Medicare PECOS Information:

PECOS PAC ID: 0446502348
Enrollment ID: I20250408000000

Medical Identifiers

Medical identifiers for Kenneth James such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790148583	NPI	-	NPPES
103290800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME141288 (Florida)	Secondary
208000000X	Pediatrics	199796 (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. Kenneth James allows following entities to bill medicare on his behalf.

Entity Name	Golden Valley Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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 James 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
Kenneth James, MD 900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923 Ph: (954) 315-5784	Kenneth James, MD 1920 Memorial Dr, Ceres, CA 95307-1827 Ph: (209) 541-3000

Reviews and Comments

Pediatrics Doctors in Ceres, CA

Felix A. Conte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-538-1096 Fax: 209-538-1099
Lynette R Grandison, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 E Whitmore Ave, Ceres, CA 95307 Phone: 209-538-1733
Dr. Ayotunde Kofoworola Ayodele, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-383-7441

Kenneth James, MD - Medicare Pediatrics in Ceres, CA