Kenneth Poblete Igno, in Lemon Grove, CA - Medicare Physical Therapist Provider

Kenneth Poblete Igno, is a medicare enrolled "Physical Therapist" provider in Lemon Grove, California. His current practice location is 7050 Broadway, Lemon Grove, California. You can reach out to his office (for appointments etc.) via phone at (619) 745-5932.

Kenneth Poblete Igno is licensed to practice in California (license number 307445) 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 1487465845.

Contact Information

	Kenneth Poblete Igno,
	7050 Broadway, Lemon Grove, CA 91945-1406
	(619) 745-5932
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Poblete Igno
Gender	Male
Speciality	Physical Therapist
Location	7050 Broadway, Lemon Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487465845
Provider Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4981134236
Enrollment ID: I20250217000282

Medical Identifiers

Medical identifiers for Kenneth Poblete Igno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487465845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	307445 (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 Poblete Igno allows following entities to bill medicare on his behalf.

Provider Name	Mdrs Spine & Sport Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725

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 Poblete Igno 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 Poblete Igno, 7050 Broadway, Lemon Grove, CA 91945-1406 Ph: () -	Kenneth Poblete Igno, 7050 Broadway, Lemon Grove, CA 91945-1406 Ph: (619) 745-5932

Reviews and Comments

Physical Therapist in Lemon Grove, CA

Christopher Timothy Andrews, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7050 Broadway, Lemon Grove, CA 91945 Phone: 619-745-5932
Jordan Mason, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4420
Kasey Rae Tolbert, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7922 Palm St, Lemon Grove, CA 91945 Phone: 619-644-1000
Carlos Fabian Ontiveros, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4420
Dr. Alex Tong, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-515-2300
Therapy Specialists Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2211 Massachusetts Ave, Lemon Grove, CA 91945 Phone: 619-698-0903

Kenneth Poblete Igno, - Medicare Physical Therapist in Lemon Grove, CA