Kenneth Kin Ning Poon, FNP-C - Medicare Nurse Practitioner in San Carlos, CA

Kenneth Kin Ning Poon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in San Carlos, California. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 301 Industrial Rd, San Carlos, California. You can reach out to his office (for appointments etc.) via phone at (650) 596-4000.

Kenneth Kin Ning Poon is licensed to practice in California (license number 95005757) 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 1790222164.

Contact Information

Kenneth Kin Ning Poon, FNP-C
301 Industrial Rd,
San Carlos, CA 94070-2603
(650) 596-4000
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Kin Ning Poon
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location301 Industrial Rd, San Carlos, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Kin Ning Poon graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1790222164
  • Provider Enumeration Date: 01/24/2017
  • Last Update Date: 06/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921381856
  • Enrollment ID: I20180402001760

Medical Identifiers

Medical identifiers for Kenneth Kin Ning Poon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790222164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95005757 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peninsula Medical CenterBurlingame, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

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 Kin Ning Poon allows following entities to bill medicare on his behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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 Kin Ning Poon 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
Kenneth Kin Ning Poon, FNP-C
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (650) 596-4000
Kenneth Kin Ning Poon, FNP-C
301 Industrial Rd,
San Carlos, CA 94070-2603

Ph: (650) 596-4000

Reviews and Comments


Nurse Practitioner Nurses in San Carlos, CA

Mrs. Diana Tatarkhanova, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4240    
Amy Kathleen Mccarthy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4000    
Miss Christine Natan, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4240    
Grace Watson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4240    
Christina F Van Divner, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4130    
Michelle Karen Lee, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4000    
Mrs. Sarina Mai Lee Safina, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 125 Shoreway Rd Ste A, San Carlos, CA 94070
Phone: 650-556-9420    Fax: 661-678-2779

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.