Kenny J Omlin, MD in Vacaville, CA - Medicare Dermatology

Kenny J Omlin, MD is a medicare enrolled "Dermatology" physician in Vacaville, California. He went to Medical College Of Ohio and graduated in 1998 and has 26 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 1 Quality Dr, Vacaville, California. You can reach out to his office (for appointments etc.) via phone at (707) 453-5000.

Kenny J Omlin is licensed to practice in California (license number A74634) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134207970.

Contact Information

	Kenny J Omlin, MD
	1 Quality Dr, Vacaville, CA 95688-9494
	(707) 453-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenny J Omlin
Gender	Male
Speciality	Dermatology
Experience	26 Years
Location	1 Quality Dr, Vacaville, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenny J Omlin attended and graduated from Medical College Of Ohio in 1998

NPI Data:

NPI Number: 1134207970
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 9931160173
Enrollment ID: I20050930000393

Medical Identifiers

Medical identifiers for Kenny J Omlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134207970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A74634 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Kenny J Omlin 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. Kenny J Omlin 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
Kenny J Omlin, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Kenny J Omlin, MD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 453-5000

Reviews and Comments

Dermatology Doctors in Vacaville, CA

Dr. Jillian Wahmei Wong Millsop, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-3200 Fax: 707-624-3201
Jessica Corwin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-3200 Fax: 707-624-3201
Eric S. Fromer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-453-5000
Glenn A. Handler, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-453-5000
Dr. Nandan Vasudev Kamath, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 941 Merchant St, Suite A, Vacaville, CA 95688 Phone: 707-446-6969 Fax: 707-446-2775

Kenny J Omlin, MD - Medicare Dermatology in Vacaville, CA