Dr Kenneth Kehinde Etefia, MD in San Mateo, CA - Medicare Psychiatry & Neurology

Dr Kenneth Kehinde Etefia, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Mateo, California. His current practice location is 1650 S Amphlett Blvd Ste 203, San Mateo, California. You can reach out to his office (for appointments etc.) via phone at (650) 206-8932.

Dr Kenneth Kehinde Etefia is licensed to practice in California (license number A108453) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346437787.

Contact Information

	Dr Kenneth Kehinde Etefia, MD
	1650 S Amphlett Blvd Ste 203, San Mateo, CA 94402-2515
	(650) 206-8932
	(855) 347-9258

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Kehinde Etefia
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1650 S Amphlett Blvd Ste 203, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346437787
Provider Enumeration Date: 10/01/2007
Last Update Date: 05/26/2021

Medicare PECOS Information:

PECOS PAC ID: 8628119112
Enrollment ID: I20100106000204

Medical Identifiers

Medical identifiers for Dr Kenneth Kehinde Etefia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346437787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A108453 (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. Dr Kenneth Kehinde Etefia allows following entities to bill medicare on his behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	County Of Solano
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508072588 PECOS PAC ID: 7911893177 Enrollment ID: O20040224001362

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. Dr Kenneth Kehinde Etefia 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
Dr Kenneth Kehinde Etefia, MD 1650 S Amphlett Blvd Ste 203, San Mateo, CA 94402-2515 Ph: (650) 206-8932	Dr Kenneth Kehinde Etefia, MD 1650 S Amphlett Blvd Ste 203, San Mateo, CA 94402-2515 Ph: (650) 206-8932

Reviews and Comments

Psychiatry & Neurology Doctors in San Mateo, CA

Jennie Yoo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1950 Alameda De Las Pulgas, San Mateo, CA 94403 Phone: 650-570-3515
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Huaiyu Yang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2426
Denise Albert, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 999 Baker Way Ste 420, San Mateo, CA 94404 Phone: 650-571-9652 Fax: 650-571-9657
Darshana Sachin Pai, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 177 Bovet Rd Ste 300, San Mateo, CA 94402 Phone: 650-627-1700
Ms. Ryuko Ishikawa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 138 E Hillsdale Blvd, San Mateo, CA 94403 Phone: 415-640-1455
Elizabeth J Rody, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1950 Alameda De Las Pulgas, San Mateo, CA 94403 Phone: 650-587-8574

Dr Kenneth Kehinde Etefia, MD - Medicare Psychiatry & Neurology in San Mateo, CA