Keith E Penera, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in San Juan Capistrano, California. He went to Kent State University College Of Podiatric Medicine and graduated in 2009 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Healthcare Partners Affiliates Medical Group, Centers For Family Medicine Gp, Memorialcare Medical Foundation and his current practice location is
31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, California. You can reach out to his office (for appointments etc.) via phone at
(949) 661-9600.
Keith E Penera is licensed to practice in California (license number E4975) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982834347.
Healthcare Provider's Profile
| Full Name | Keith E Penera |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 17 Years |
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| Location | 31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keith E Penera attended and graduated from Kent State University College Of Podiatric Medicine in 2009
NPI Data:
- NPI Number: 1982834347
- Provider Enumeration Date: 07/20/2009
- Last Update Date: 03/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 3870747181
- Enrollment ID: I20130213000272
Medical Identifiers
Medical identifiers for Keith E Penera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982834347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | EL1784 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4975 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Healthcare Partners Affiliates Medical Group | 7315842002 | 792 |
| Centers For Family Medicine Gp | 9931143799 | 97 |
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| Memorialcare Medical Foundation | 8729277314 | 563 |
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. Keith E Penera allows following entities to bill medicare on his behalf.
| Provider Name | Healthcare Partners Affiliates Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258 |
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| Provider Name | Centers For Family Medicine Gp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467598243
PECOS PAC ID: 9931143799
Enrollment ID: O20050614000191 |
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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. Keith E Penera 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 |
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Keith E Penera, DPM
31001 Rancho Viejo Rd Ste 200,
San Juan Capistrano, CA 92675-8704
Ph: (949) 661-9600 | Keith E Penera, DPM
31001 Rancho Viejo Rd Ste 200,
San Juan Capistrano, CA 92675-8704
Ph: (949) 661-9600 |
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