Dr Kent Keith Fung, MD in Pomona, CA

Dr Kent Keith Fung, MD is a medicare enrolled "Pediatrics" physician in Pomona, California. His current practice location is 250 W Bonita Ave, Suite 200, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 629-5067.

Dr Kent Keith Fung is licensed to practice in California (license number A98253) 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 1689844318.

Contact Information

	Dr Kent Keith Fung, MD
	250 W Bonita Ave, Suite 200, Pomona, CA 91767-1863
	(909) 629-5067
	(909) 865-7688

Map and Direction

Physician's Profile

Full Name	Dr Kent Keith Fung
Gender	Male
Speciality	Pediatrics
Location	250 W Bonita Ave, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689844318
Provider Enumeration Date: 03/10/2008
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3072875558
Enrollment ID: I20180321000749

Medical Identifiers

Medical identifiers for Dr Kent Keith Fung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689844318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A98253 (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 Kent Keith Fung allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Kent Keith Fung 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 Kent Keith Fung, MD 250 W Bonita Ave, Suite 200, Pomona, CA 91767-1863 Ph: (909) 629-5067	Dr Kent Keith Fung, MD 250 W Bonita Ave, Suite 200, Pomona, CA 91767-1863 Ph: (909) 629-5067

Reviews and Comments

Pediatrics Doctors in Pomona, CA

Dr. James T. Warren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W Bonita Ave, #200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688
Dr. Juanita Alice Kagwa-nyanzi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 W Willow St, Ste B, Pomona, CA 91768 Phone: 909-865-5519 Fax: 909-865-5771
Grace Hoang-oanh Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1532 San Bernardino Ave Ste B7, Pomona, CA 91767 Phone: 909-301-4041 Fax: 909-301-4042
Dr. Lisa Warren, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 795 E. Second Street, Suite 5, Pomona, CA 91766 Phone: 909-865-2565 Fax: 909-865-2599
Gloria Ha Phuoc Chung, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 E Holt Ave, Suite G, Pomona, CA 91767 Phone: 909-632-0895
Ericka Y Hong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W. Bonita Ave, Suite 200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688
Elhamy Fawzy Khalil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3530 West Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221

Dr Kent Keith Fung, MD - Medicare Pediatrics in Pomona, CA