Kauai Nicole Kennedy-eto, M,D, MPH - Medicare Family Practice in Redlands, CA

Kauai Nicole Kennedy-eto, M,D, MPH is a medicare enrolled "Family Medicine" physician in Redlands, California. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mommy And Me Medical Group Inc and her current practice location is 1711 N. Orange Street, Redlands, California. You can reach out to her office (for appointments etc.) via phone at (909) 792-2200.

Kauai Nicole Kennedy-eto is licensed to practice in California (license number A127206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568758100.

Contact Information

Kauai Nicole Kennedy-eto, M,D, MPH
1711 N. Orange Street,
Redlands, CA 92374-2254
(909) 792-2200
(909) 792-2660

Map and Direction




Physician's Profile

Full NameKauai Nicole Kennedy-eto
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location1711 N. Orange Street, Redlands, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kauai Nicole Kennedy-eto graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1568758100
  • Provider Enumeration Date: 06/22/2011
  • Last Update Date: 08/03/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9133412125
  • Enrollment ID: I20160728001286

Medical Identifiers

Medical identifiers for Kauai Nicole Kennedy-eto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568758100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A127206 (California)Primary
207V00000XObstetrics & Gynecology A127206 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Natividad Medical CenterSalinas, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mommy And Me Medical Group Inc02443837275

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. Kauai Nicole Kennedy-eto allows following entities to bill medicare on her behalf.
Entity NameMommy And Me Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730258765
PECOS PAC ID: 0244383727
Enrollment ID: O20090730000546

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. Kauai Nicole Kennedy-eto 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 AddressPractice Location Address
Kauai Nicole Kennedy-eto, M,D, MPH
1711 N. Orange Street,
Redlands, CA 92374-2254

Ph: (909) 792-2200
Kauai Nicole Kennedy-eto, M,D, MPH
1711 N. Orange Street,
Redlands, CA 92374-2254

Ph: (909) 792-2200

Reviews and Comments


Family Medicine Doctors in Redlands, CA

Salma Mohammadi Green, DO
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Phone: 909-792-2605    
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Calvin G Hagglov, M.D.
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Grace Marie Hecker, MD
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Phone: 909-792-1388    Fax: 097-487-9259
Shantharam Pai, M.D.
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Dr. Veena Mysore, MD
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Horst R Rudrich, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 255 Terracina Blvd, Ste. 105, Redlands, CA 92373
Phone: 909-793-0323    Fax: 909-793-9173

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.