Kaci Dudley, MD - Medicare Diagnostic Radiology in Loma Linda, CA

  1. Home
  2. Radiology
  3. CA
  4. Loma Linda
Kaci Dudley, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Loma Linda, California. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4289.

Kaci Dudley is licensed to practice in California (license number A158974) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669826913.

Contact Information

Kaci Dudley, MD
11234 Anderson St, Gme Office Westerly Suite C,
Loma Linda, CA 92354-2804
(909) 558-4289
Not Available

Map and Direction




Physician's Profile

Full NameKaci Dudley
GenderFemale
SpecialityDiagnostic Radiology
Experience10 Years
Location11234 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kaci Dudley graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1669826913
  • Provider Enumeration Date: 04/22/2016
  • Last Update Date: 08/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951709070
  • Enrollment ID: I20211004003024

Medical Identifiers

Medical identifiers for Kaci Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669826913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging A158974 (California)Secondary
2085U0001XRadiology - Diagnostic Ultrasound A158974 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (California)Secondary
2085R0202XRadiology - Diagnostic Radiology A158974 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loma Linda University Medical CenterLoma linda, CAHospital
Loma Linda University Medical Center-murrietaMurrieta, CAHospital
St Mary Medical CenterApple valley, CAHospital
St Bernardine Medical CenterSan bernardino, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Faculty Physicians And Surgeons Of Llusm11532278141065

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. Kaci Dudley allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063487122
PECOS PAC ID: 5496668410
Enrollment ID: O20031106000503
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameCity & County Of San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982737524
PECOS PAC ID: 1658280748
Enrollment ID: O20050309000770

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. Kaci Dudley 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
Kaci Dudley, MD
11234 Anderson St Ste Mc-b622,
Loma Linda, CA 92354-2804

Ph: () -		Kaci Dudley, MD
11234 Anderson St, Gme Office Westerly Suite C,
Loma Linda, CA 92354-2804

Ph: (909) 558-4289

Reviews and Comments


Radiology Doctors in Loma Linda, CA

Dr. Arthur Chung-liung Chang, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Va Loma Linda Healthcare System - Dept Of Radiology, Loma Linda, CA 92357
Phone: 909-825-7084    
Joseph Unis, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8311    
Donald Tellfair Barnes, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Imaging Service (radoiology Department), Loma Linda, CA 92357
Phone: 909-825-7084    
Dr. Kristen Darden, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson St, Suite C, Loma Linda, CA 92354
Phone: 909-558-7814    
Raymond Torres Scott,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 11234 Anderson St Ste Mc-b622, Loma Linda, CA 92354
Phone: 909-558-4000    
Jason Smith, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8311    
Thu Tang, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.