Kevin J Prendiville, MD is a medicare enrolled "Ophthalmology" physician in Dana Point, California. His current practice location is
11 Cobalt Dr, Dana Point, California. You can reach out to his office (for appointments etc.) via phone at
(949) 388-9718.
Kevin J Prendiville is licensed to practice in California (license number G45074) 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 1588636765.
Physician's Profile
| Full Name | Kevin J Prendiville |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 11 Cobalt Dr, Dana Point, 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: 1588636765
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 04/30/2010
Medicare PECOS Information:
- PECOS PAC ID: 1759303118
- Enrollment ID: I20100830000129
Medical Identifiers
Medical identifiers for Kevin J Prendiville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588636765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | G45074 (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. Kevin J Prendiville allows following entities to bill medicare on his behalf.
| Entity Name | Pacific Eye Institute A Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962422709 PECOS PAC ID: 7911966122 Enrollment ID: O20041004001187 |
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| Entity Name | South Coast Eye Care Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063459725 PECOS PAC ID: 0547299901 Enrollment ID: O20050806000096 |
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| Entity Name | Emergency Associates Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003866120 PECOS PAC ID: 8022196518 Enrollment ID: O20080424000144 |
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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. Kevin J Prendiville 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 |
Kevin J Prendiville, MD 11 Cobalt Dr, Dana Point, CA 92629-5906 Ph: (949) 388-9718 | Kevin J Prendiville, MD 11 Cobalt Dr, Dana Point, CA 92629-5906 Ph: (949) 388-9718 |
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