Dr Kenneth Dale Macknet Jr, MD in Loma Linda, CA

Dr Kenneth Dale Macknet Jr, MD is a medicare enrolled "Dermatology" physician in Loma Linda, California. He went to Loma Linda University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Csi Medical Group and his current practice location is 25815 Barton Rd, Suite 101, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 796-0224.

Dr Kenneth Dale Macknet Jr is licensed to practice in California (license number A63594) 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 1922199306.

Contact Information

	Dr Kenneth Dale Macknet Jr, MD
	25815 Barton Rd, Suite 101, Loma Linda, CA 92354-3893
	(909) 796-0224
	(909) 796-0225

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Dale Macknet Jr
Gender	Male
Speciality	Dermatology
Experience	28 Years
Location	25815 Barton Rd, Loma Linda, 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:

Dr Kenneth Dale Macknet Jr attended and graduated from Loma Linda University School Of Medicine in 1996

NPI Data:

NPI Number: 1922199306
Provider Enumeration Date: 09/28/2006
Last Update Date: 12/24/2018

Medicare PECOS Information:

PECOS PAC ID: 9133222052
Enrollment ID: I20070314000437

Medical Identifiers

Medical identifiers for Dr Kenneth Dale Macknet Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922199306	NPI	-	NPPES
OOA639542	Medicaid	CA
756071339	Other	CA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	A63594 (California)	Secondary
207NP0225X	Dermatology - Pediatric Dermatology	A63594 (California)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	A63594 (California)	Secondary
207N00000X	Dermatology	A63594 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Csi Medical Group	5890916845	103

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 Kenneth Dale Macknet Jr allows following entities to bill medicare on his behalf.

Entity Name	Csi Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930

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 Kenneth Dale Macknet Jr 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
Dr Kenneth Dale Macknet Jr, MD 25815 Barton Rd, Ste 101, Loma Linda, CA 92354-3894 Ph: (909) 796-0224	Dr Kenneth Dale Macknet Jr, MD 25815 Barton Rd, Suite 101, Loma Linda, CA 92354-3893 Ph: (909) 796-0224

Reviews and Comments

Dermatology Doctors in Loma Linda, CA

Mrs. Jane Mieko-hirokane Cantos, Dermatology Medicare: Not Enrolled in Medicare Practice Location: Jerry L Pettis Veterans Hospital; Medical Service 111d, 11201 Benton Avenue, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3225
Abel Torres, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2600, Loma Linda, CA 92354 Phone: 909-558-2055
Shawna Kay Langley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2600, Loma Linda, CA 92354 Phone: 909-558-2062
Jack Seeburger, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3225
Mrs. Melanie Emad Tawfik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 25865 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-2890
Dr. Desmond Doss Gibson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Dept Of Dermatology, Loma Linda, CA 92357 Phone: 951-858-5023
Ashley Elsensohn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 25865 Barton Rd Ste 101, Buliding D, Loma Linda, CA 92354 Phone: 909-558-2890

Dr Kenneth Dale Macknet Jr, MD - Medicare Dermatology in Loma Linda, CA