| Kenneth Paul Smith, MD | |
|
5189 Hospital Rd, Mariposa, CA 95338-9524 | |
| (209) 966-3631 | |
| (209) 966-8438 |
| Full Name | Kenneth Paul Smith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 5189 Hospital Rd, Mariposa, 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 |
|---|---|---|---|
| 1285725937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | G68554 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John C Fremont Healthcare District | Mariposa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John C Fremont Healthcare District | 5890689533 | 15 |
| Erx Plus Professional Corporation | 6800192428 | 10 |
| Entity Name | John C Fremont Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750504270 PECOS PAC ID: 5890689533 Enrollment ID: O20040212000193 |
| Entity Name | Erx Plus Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336508407 PECOS PAC ID: 6800192428 Enrollment ID: O20220928003168 |
| Entity Name | Erx Hospitalist Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699199562 PECOS PAC ID: 6608009279 Enrollment ID: O20221113000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Paul Smith, MD Po Box 951, Los Banos, CA 93635-0951 Ph: (209) 617-3721 | Kenneth Paul Smith, MD 5189 Hospital Rd, Mariposa, CA 95338-9524 Ph: (209) 966-3631 |
Dr. Joseph E. C. Rogers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 | |
Leonard E. Ranasinghe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5189 Hospital Rd, John C. Fremont Hospital, Mariposa, CA 95338 Phone: 209-966-3631 | |
Dr. Deron Theodore Warren, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5189 Hospital Rd, Mariposa, CA 95338 Phone: 209-966-3631 |