| Kenneth O Phillips, MD | |
|
2025 Morse Ave, Sacramento, CA 95825-2115 | |
| (916) 973-5000 | |
| Not Available |
| Full Name | Kenneth O Phillips |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 2025 Morse Ave, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306924022 | NPI | - | NPPES |
| 00A757250 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | A75725 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth O Phillips, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Kenneth O Phillips, MD 2025 Morse Ave, Sacramento, CA 95825-2115 Ph: (916) 973-5000 |
James Patrick Hamill, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1031 Wilhaggin Park Ln, Sacramento, CA 95864 Phone: 916-487-6903 Fax: 916-487-6903 | |
Alfred Phillip Yoon, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2335 Stockton Blvd Fl 6, Sacramento, CA 95817 Phone: 714-337-1647 | |
Ian Angus Powelson, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2335 Stockton Blvd Fl 6, Sacramento, CA 95817 Phone: 916-734-7289 | |
Ara Salibian, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2335 Stockton Blvd Fl 6, Sacramento, CA 95817 Phone: 916-734-7844 | |
Dr. Angelo Capozzi, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2425 Stockton Blvd, Sacramento, CA 95817 Phone: 916-453-2050 Fax: 916-453-2373 | |
Dr. Debra Jolyn Johnson, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 95 Scripps Dr, Sacramento, CA 95825 Phone: 916-929-1833 Fax: 916-929-1833 | |
Dr. Catherine M Riolo, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 Cadillac Dr Ste 170, Sacramento, CA 95825 Phone: 916-664-3391 |