| Michael Scott Kenly, MD | |
|
511 Bath St, Santa Barbara, CA 93101-3403 | |
| (805) 963-9377 | |
| (805) 962-2154 |
| Full Name | Michael Scott Kenly |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 20 Years |
| Location | 511 Bath St, Santa Barbara, 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 |
|---|---|---|---|
| 1548445307 | NPI | - | NPPES |
| EJ158Z | Other | CA | SOUTHERN MEDICARE PTAN |
| EJ158Y | Other | CA | NORTHERN MEDICARE PTAN |
| A113590 | Other | CA | DCA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 62730 (Georgia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A113590 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Ynez Valley Cottage Hospital | Solvang, CA | Hospital |
| Santa Barbara Cottage Hospital | Santa barbara, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alta Orthopaedic Medical Group Inc | 7315837788 | 19 |
| Entity Name | Alta Orthopaedic Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699768903 PECOS PAC ID: 7315837788 Enrollment ID: O20040318000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Scott Kenly, MD 511 Bath St, Santa Barbara, CA 93101-3403 Ph: (805) 963-9377 | Michael Scott Kenly, MD 511 Bath St, Santa Barbara, CA 93101-3403 Ph: (805) 963-9377 |
Sharon L Basham, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2415 De La Vina St, Santa Barbara, CA 93105 Phone: 805-689-5718 | |
Karl J Sandin, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 230 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-569-8922 Fax: 805-687-5467 | |
Dr. Cheryl Ann Ellis, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2415 De La Vina St, Santa Barbara, CA 93105 Phone: 805-569-8999 Fax: 805-569-8941 | |
Dr. Thomas Jay Zweber, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2323 De La Vina St, Suite 208, Santa Barbara, CA 93105 Phone: 805-845-8895 Fax: 805-845-8494 | |
Dr. Tristan Zhang, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 401 E Carrillo St, Santa Barbara, CA 93101 Phone: 469-471-1404 | |
Dr. Michael Lee, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2415 De La Vina St, Santa Barbara, CA 93105 Phone: 805-687-7444 Fax: 805-687-3707 |