Kene P Ofili Iv, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Woodland, California. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Dignity Health Medical Foundation and his current practice location is
632 W Gibson Rd, Woodland, California. You can reach out to his office (for appointments etc.) via phone at
(530) 668-2600.
Kene P Ofili Iv is licensed to practice in California (license number E5206) 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 1790067148.
Healthcare Provider's Profile
Full Name | Kene P Ofili Iv |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 13 Years |
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Location | 632 W Gibson Rd, Woodland, California |
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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:
- Kene P Ofili Iv graduated from medical school in 2011
NPI Data:
- NPI Number: 1790067148
- Provider Enumeration Date: 09/12/2011
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486954310
- Enrollment ID: I20151130000185
Medical Identifiers
Medical identifiers for Kene P Ofili Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790067148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5206 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dignity Health Medical Foundation | 7810800661 | 1199 |
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. Kene P Ofili Iv allows following entities to bill medicare on his behalf.
Provider Name | Dignity Health Medical Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
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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. Kene P Ofili Iv 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 |
Kene P Ofili Iv, DPM 3400 Data Dr 1st, Rancho Cordova, CA 95670-7956 Ph: (916) 379-2726 | Kene P Ofili Iv, DPM 632 W Gibson Rd, Woodland, CA 95695-5169 Ph: (530) 668-2600 |
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