Kenneth Earl Averill Jr, MD - Medicare Diagnostic Radiology in Santa Cruz, CA

Kenneth Earl Averill Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Santa Cruz, California. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Medical Group Of Santa Cruz County Inc and his current practice location is 1661 Soquel Dr, Bldg G, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at (831) 476-7711.

Kenneth Earl Averill Jr is licensed to practice in California (license number G68088) 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 1538182712.

Contact Information

Kenneth Earl Averill Jr, MD
1661 Soquel Dr, Bldg G,
Santa Cruz, CA 95065-1709
(831) 476-7711
(831) 476-6189



Physician's Profile

Full NameKenneth Earl Averill Jr
GenderMale
SpecialityDiagnostic Radiology
Experience36 Years
Location1661 Soquel Dr, Santa Cruz, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Earl Averill Jr graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1538182712
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 05/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3476544453
  • Enrollment ID: I20051020000572

Medical Identifiers

Medical identifiers for Kenneth Earl Averill Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538182712NPI-NPPES
009680880MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G68088 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Medical Group Of Santa Cruz County Inc266846947913

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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 Earl Averill Jr allows following entities to bill medicare on his behalf.
Entity NameRadiology Medical Group Of Santa Cruz County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962415208
PECOS PAC ID: 2668469479
Enrollment ID: O20040426001018

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Entity NameMammography Center Of Monterey
Entity TypePart B Supplier - Mammography Center
Entity IdentifiersNPI Number: 1033202072
PECOS PAC ID: 6002853363
Enrollment ID: O20050408000703

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Entity NameCounty Of Monterey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205863255
PECOS PAC ID: 2466345632
Enrollment ID: O20050502000456

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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. Kenneth Earl Averill Jr 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 AddressPractice Location Address
Kenneth Earl Averill Jr, MD
1661 Soquel Dr, Bldg G,
Santa Cruz, CA 95065-1709

Ph: (831) 476-1542
Kenneth Earl Averill Jr, MD
1661 Soquel Dr, Bldg G,
Santa Cruz, CA 95065-1709

Ph: (831) 476-7711

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Radiology Doctors in Santa Cruz, CA

Victor Mockus,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062
Phone: 831-458-5521    
Charlotte Y Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1575 Soquel Dr, Santa Cruz, CA 95065
Phone: 831-462-3050    
Nicholas Astromoff, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1661 Soquel Drive, Building G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-476-6189
Ka-wah Tung, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1661 Soquel Dr, Santa Cruz, CA 95065
Phone: 718-683-0390    
Roy Elias Martinez, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1661 Soquel Dr, Building G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-476-6189
Nicholas Thomas Rudnick, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1661 Soquel Dr Ste G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-462-0581
Edward Hutchinson Menges, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1661 Soquel Dr, Bldg G, Santa Cruz, CA 95065
Phone: 831-476-7711    Fax: 831-476-6189

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