Edwin Nathaniel Kendrick Iii, MD in Ontario, CA

Edwin Nathaniel Kendrick Iii, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Ontario, California. He went to Morehouse School Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Vascular Surgery. His current practice location is 3200 Inland Empire Blvd Ste 275, Ontario, California. You can reach out to his office (for appointments etc.) via phone at (626) 623-6040.

Edwin Nathaniel Kendrick Iii is licensed to practice in California (license number C56176) 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 1265730618.

Contact Information

	Edwin Nathaniel Kendrick Iii, MD
	3200 Inland Empire Blvd Ste 275, Ontario, CA 91764-5582
	(626) 623-6040
	(909) 366-5940

Map and Direction

Physician's Profile

Full Name	Edwin Nathaniel Kendrick Iii
Gender	Male
Speciality	Vascular Surgery
Experience	25 Years
Location	3200 Inland Empire Blvd Ste 275, Ontario, 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:

Edwin Nathaniel Kendrick Iii attended and graduated from Morehouse School Of Medicine in 2001

NPI Data:

NPI Number: 1265730618
Provider Enumeration Date: 03/09/2011
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8729217542
Enrollment ID: I20140127000958

Medical Identifiers

Medical identifiers for Edwin Nathaniel Kendrick Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265730618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	C56176 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emanate Health Foothill Presbyterian Hospital	Glendora, CA	Hospital

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. Edwin Nathaniel Kendrick Iii allows following entities to bill medicare on his behalf.

Entity Name	California Vein Vascular And Diagnostics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710388103 PECOS PAC ID: 0446573034 Enrollment ID: O20150107001265

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. Edwin Nathaniel Kendrick Iii 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
Edwin Nathaniel Kendrick Iii, MD 3200 Inland Empire Blvd Ste 275, Ontario, CA 91764-5582 Ph: (626) 623-6040	Edwin Nathaniel Kendrick Iii, MD 3200 Inland Empire Blvd Ste 275, Ontario, CA 91764-5582 Ph: (626) 623-6040

Reviews and Comments

Surgery Doctors in Ontario, CA

Dr. Rex Chang Manayan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3333 Concours Ste 100, Ontario, CA 91764 Phone: 909-481-3242 Fax: 909-481-3243
Sunal Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 909-724-3223
Joanna Christine Lim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave Bldg D, Ontario, CA 91761 Phone: 909-724-5000
Stewart E Rendon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 754 N Mountain Ave, Ontario, CA 91762 Phone: 909-460-4155 Fax: 909-988-4414

Edwin Nathaniel Kendrick Iii, MD - Medicare Vascular Surgery in Ontario, CA