Kenneth E Lynch, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Surfside, California. His current practice location is
A59 Surfside Avenue, Surfside, California. You can reach out to his office (for appointments etc.) via phone at
(714) 889-9659.
Kenneth E Lynch is licensed to practice in California (license number G17130) 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 1023093069.
Physician's Profile
| Full Name | Kenneth E Lynch |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | A59 Surfside Avenue, Surfside, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023093069
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 03/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 3678477502
- Enrollment ID: I20041206001167
Medical Identifiers
Medical identifiers for Kenneth E Lynch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023093069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | G17130 (California) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | G17130 (California) | Secondary |
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. Kenneth E Lynch allows following entities to bill medicare on his behalf.
| Entity Name | Golden State Imaging Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
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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. Kenneth E Lynch 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 |
Kenneth E Lynch, MD Po Box 187, Surfside, CA 90743-0187 Ph: (714) 889-9659 | Kenneth E Lynch, MD A59 Surfside Avenue, Surfside, CA 90743-0187 Ph: (714) 889-9659 |
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