Dr Ingo O Rencken, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Sebastopol, California. He graduated from medical school in 1984 and has 41 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Modesto Radiological Medical Group Inc and his current practice location is
501 Petaluma Ave, Sebastopol, California. You can reach out to his office (for appointments etc.) via phone at
(707) 829-4360.
Dr Ingo O Rencken is licensed to practice in California (license number A56477) 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 1265456776.
Physician's Profile
| Full Name | Dr Ingo O Rencken |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 41 Years |
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| Location | 501 Petaluma Ave, Sebastopol, 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. |
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Medical Education and Training:
- Dr Ingo O Rencken graduated from medical school in 1984
NPI Data:
- NPI Number: 1265456776
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 04/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 8921092313
- Enrollment ID: I20040408001564
Medical Identifiers
Medical identifiers for Dr Ingo O Rencken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265456776 | NPI | - | NPPES |
| 00A564770 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | A56477 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Modesto Radiological Medical Group Inc | 2062300239 | 89 |
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. Dr Ingo O Rencken allows following entities to bill medicare on his behalf.
| Entity Name | Modesto Radiological Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992747547
PECOS PAC ID: 2062300239
Enrollment ID: O20040513000453 |
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| Entity Name | Radadvantage A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455 |
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| Entity Name | Turlock Imaging Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295279859
PECOS PAC ID: 3678850922
Enrollment ID: O20170515001875 |
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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. Dr Ingo O Rencken 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 |
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Dr Ingo O Rencken, MD
Po Box 3222,
Napa, CA 94558-0293
Ph: (707) 261-7822 | Dr Ingo O Rencken, MD
501 Petaluma Ave,
Sebastopol, CA 95472-4215
Ph: (707) 829-4360 |
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