Kenneth Pacofsky, MD is a
Radiology - Diagnostic Radiology physician based in Nipomo, California. Kenneth Pacofsky is licensed to practice in California (license number G32580) and his current practice location is 557 Misty View Way, Nipomo, California. He can be reached at his office (for appointments etc.) via phone at
(805) 895-8776.
NPI number for Kenneth Pacofsky is 1326180613 and his current mailing address is Po Box 1736, Pismo Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326180613.
Physician's Profile
| Full Name | Kenneth Pacofsky |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 557 Misty View Way, Nipomo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326180613
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 01/31/2013
Medical Identifiers
Medical identifiers for Kenneth Pacofsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326180613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G32580 (California) | Primary |
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. Kenneth Pacofsky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Pacofsky, MD
Po Box 1736,
Pismo Beach, CA 93448-1736
Ph: (805) 895-8776 | Kenneth Pacofsky, MD
557 Misty View Way,
Nipomo, CA 93444-8872
Ph: (805) 895-8776 |
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