Kenneth W Mak, MD in Modesto, CA - Medicare Otolaryngology

Kenneth W Mak, MD is a medicare enrolled "Otolaryngology" physician in Modesto, California. His current practice location is 1541 Florida Ave, 301, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 577-3388.

Kenneth W Mak is licensed to practice in California (license number A55527) 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 1427007798.

Contact Information

	Kenneth W Mak, MD
	1541 Florida Ave, 301, Modesto, CA 95350-4429
	(209) 577-3388
	(209) 523-0764

Map and Direction

Physician's Profile

Full Name	Kenneth W Mak
Gender	Male
Speciality	Otolaryngology
Location	1541 Florida Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427007798
Provider Enumeration Date: 05/06/2006
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0345302493
Enrollment ID: I20081223000661

Medical Identifiers

Medical identifiers for Kenneth W Mak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427007798	NPI	-	NPPES
00A555270	Medicaid	CA
CD069A	Other	CA	GROUP MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A55527 (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. Kenneth W Mak allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 W Mak 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
Kenneth W Mak, MD 1541 Florida Ave, 200, Modesto, CA 95350-4429 Ph: (209) 577-3388	Kenneth W Mak, MD 1541 Florida Ave, 301, Modesto, CA 95350-4429 Ph: (209) 577-3388

Reviews and Comments

Otolaryngology Doctors in Modesto, CA

Douglas M Phan, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1541 Florida Ave Ste 304, Modesto, CA 95350 Phone: 209-577-3388 Fax: 209-521-3262
Anwuli Alexandra Anyah, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4770
Mark J. Bitgood, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000
Charles R Suntra, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Christopher S. Whang, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000
Charles Alan Yates, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099

Kenneth W Mak, MD - Medicare Otolaryngology in Modesto, CA