Look up the most recent NPI and PECOS records

Jeremy Scott Kroes

Emergency Medicine

Allopathic & Osteopathic Physicians

3916 State St, Santa Barbara, CA 93105-5602

PECOS Enrollment

This provider is enrolled in PECOS as JEREMY KROES.

Based on the most recent information from CMS, provider Jeremy Scott Kroes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:36 AM.

Profile Details

Provider ID
1841233715
Provider Type
Individual
Full Name
Kroes, Jeremy Scott
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/14/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3916 State St, Santa Barbara, CA 93105-5602

(805) 564-5097

(323) 932-5356

Mailing Location

2523 Ralston Ln, Redondo Beach, CA 90278-5314

(310) 344-5155

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A74428 California

Provider Identifiers

ID	Description	Issuer
ID 00A744280	Description Medicaid	Issuer Unlisted California

Jeremy Scott Kroes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Gerhardt, Nels James

Yao, Steven K

Williams, Monica

Catalano, Anthony

Zapalac, Susan C

Skrupky, Ryan A

Trosino, Lisa

Houston, Kyle Jacob

Mills, Steven

Wilson, Brett