Dr Kenneth Keeney Renwick, Jr, MD, MPH, FAAFP is a medicare enrolled "Family Medicine" physician in Tuolumne, California. His current practice location is
18880 Cherry Valley Blvd, Tuolumne, California. You can reach out to his office (for appointments etc.) via phone at
(209) 928-5400.
Dr Kenneth Keeney Renwick, Jr is licensed to practice in California (license number G50654) 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 1659344356.
Physician's Profile
| Full Name | Dr Kenneth Keeney Renwick, Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 18880 Cherry Valley Blvd, Tuolumne, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659344356
- Provider Enumeration Date: 02/12/2006
- Last Update Date: 03/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 3476612078
- Enrollment ID: I20081112000209
Medical Identifiers
Medical identifiers for Dr Kenneth Keeney Renwick, Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659344356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | G50654 (California) | Secondary |
| 207Q00000X | Family Medicine | G50654 (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. Dr Kenneth Keeney Renwick, Jr allows following entities to bill medicare on his behalf.
| Entity Name | Tuolumne Me-wuk Indian Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619952397
PECOS PAC ID: 6507816386
Enrollment ID: O20050128000861 |
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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 Kenneth Keeney Renwick, 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 Keeney Renwick, Jr, MD, MPH, FAAFP
18880 Cherry Valley Blvd,
Tuolumne, CA 95379-9506
Ph: (209) 928-5400 | Dr Kenneth Keeney Renwick, Jr, MD, MPH, FAAFP
18880 Cherry Valley Blvd,
Tuolumne, CA 95379-9506
Ph: (209) 928-5400 |
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