Dr Kofi Adade-boafo, MD in San Bernardino, CA

Dr Kofi Adade-boafo, MD is a medicare enrolled "Pediatrics" physician in San Bernardino, California. His current practice location is 2150 N Waterman Ave, Ste 200, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 887-7951.

Dr Kofi Adade-boafo is licensed to practice in California (license number A77940) 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 1003898792.

Contact Information

	Dr Kofi Adade-boafo, MD
	2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404-4811
	(909) 887-7951
	(909) 883-1634

Map and Direction

Physician's Profile

Full Name	Dr Kofi Adade-boafo
Gender	Male
Speciality	Pediatrics
Location	2150 N Waterman Ave, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003898792
Provider Enumeration Date: 11/17/2005
Last Update Date: 10/23/2015

Medicare PECOS Information:

PECOS PAC ID: 9537060256
Enrollment ID: I20040115001196

Medical Identifiers

Medical identifiers for Dr Kofi Adade-boafo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003898792	NPI	-	NPPES
A77940	Other	CA	MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A77940 (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 Kofi Adade-boafo allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020

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 Kofi Adade-boafo 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 Kofi Adade-boafo, MD Po Box 12209, San Bernardino, CA 92423-2209 Ph: (909) 335-4188	Dr Kofi Adade-boafo, MD 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404-4811 Ph: (909) 887-7951

Reviews and Comments

Pediatrics Doctors in San Bernardino, CA

Dr. Irene Styadi Tsai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408 Phone: 909-890-0407
Swapna S. Kudtarkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 E Highland Ave Ste 450a, San Bernardino, CA 92404 Phone: 909-864-4700 Fax: 909-883-0459
Angie Bagheri Cook, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091
Mrs. Amal Shoukry Ibrahim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mt. Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 Fax: 909-383-7013
Ms. Lanny Nizar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4315 Fax: 909-881-4474
Dr. Mohammad S Kanakriyeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 E Vanderbilt Way, Ste A, San Bernardino, CA 92408 Phone: 909-886-5200 Fax: 909-382-9017

Dr Kofi Adade-boafo, MD - Medicare Pediatrics in San Bernardino, CA