Edwin Nathaniel Kendrick Iii, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Ontario, California. He went to Morehouse School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Vascular Surgery. His current practice location is
3200 Inland Empire Blvd Ste 275, Ontario, California. You can reach out to his office (for appointments etc.) via phone at
(626) 623-6040.
Edwin Nathaniel Kendrick Iii is licensed to practice in California (license number C56176) 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 1265730618.
Physician's Profile
Full Name | Edwin Nathaniel Kendrick Iii |
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Gender | Male |
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Speciality | Vascular Surgery |
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Experience | 23 Years |
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Location | 3200 Inland Empire Blvd Ste 275, Ontario, 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. |
Medical Education and Training:
- Edwin Nathaniel Kendrick Iii attended and graduated from Morehouse School Of Medicine in 2001
NPI Data:
- NPI Number: 1265730618
- Provider Enumeration Date: 03/09/2011
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729217542
- Enrollment ID: I20140127000958
Medical Identifiers
Medical identifiers for Edwin Nathaniel Kendrick Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265730618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | C56176 (California) | Primary |
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. Edwin Nathaniel Kendrick Iii allows following entities to bill medicare on his behalf.
Entity Name | California Vein Vascular And Diagnostics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710388103 PECOS PAC ID: 0446573034 Enrollment ID: O20150107001265 |
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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. Edwin Nathaniel Kendrick Iii 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 |
Edwin Nathaniel Kendrick Iii, MD 3200 Inland Empire Blvd Ste 275, Ontario, CA 91764-5582 Ph: (626) 623-6040 | Edwin Nathaniel Kendrick Iii, MD 3200 Inland Empire Blvd Ste 275, Ontario, CA 91764-5582 Ph: (626) 623-6040 |
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