Mr Kenneth S Romans, PA is a medicare enrolled "Physician Assistant" in San Andreas, California. He graduated from nursing school in 1977 and has 49 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northeastern Rural Health Clinics and his current practice location is
588 St Charles Street, San Andreas, California. You can reach out to his office (for appointments etc.) via phone at
(209) 418-8121.
Mr Kenneth S Romans is licensed to practice in California (license number PA10574) 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 1285766600.
Provider's Profile
| Full Name | Mr Kenneth S Romans |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 49 Years |
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| Location | 588 St Charles Street, San Andreas, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kenneth S Romans graduated from nursing school in 1977
NPI Data:
- NPI Number: 1285766600
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 10/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800982554
- Enrollment ID: I20071011000333
Medical Identifiers
Medical identifiers for Mr Kenneth S Romans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285766600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA10574 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeastern Rural Health Clinics | 0446225254 | 19 |
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. Mr Kenneth S Romans allows following entities to bill medicare on his behalf.
| Entity Name | Gary R Johnson MD, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073695557
PECOS PAC ID: 8628015815
Enrollment ID: O20050408000989 |
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| Entity Name | Northeastern Rural Health Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477563518
PECOS PAC ID: 0446225254
Enrollment ID: O20050630001203 |
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| Entity Name | Heritage Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801666235
PECOS PAC ID: 3577908029
Enrollment ID: O20240223003698 |
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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. Mr Kenneth S Romans 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 |
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Mr Kenneth S Romans, PA
Po Box 580,
San Andreas, CA 95249-0580
Ph: (209) 419-0956 | Mr Kenneth S Romans, PA
588 St Charles Street,
San Andreas, CA 95249
Ph: (209) 418-8121 |
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