Dr Ken Takesita, MD - Medicare Urology in Riverside, CA

Dr Ken Takesita, MD is a medicare enrolled "Urology" physician in Riverside, California. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Urology. His current practice location is 4500 Brockton Ave Ste 301, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 276-4505.

Dr Ken Takesita is licensed to practice in California (license number A84860) 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 1629243837.

Contact Information

Dr Ken Takesita, MD
4500 Brockton Ave Ste 301,
Riverside, CA 92501-4027
(951) 276-4505
Not Available



Physician's Profile

Full NameDr Ken Takesita
GenderMale
SpecialityUrology
Experience22 Years
Location4500 Brockton Ave Ste 301, Riverside, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ken Takesita graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1629243837
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 09/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0547338923
  • Enrollment ID: I20081013000329

Medical Identifiers

Medical identifiers for Dr Ken Takesita such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629243837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology A84860 (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 Ken Takesita allows following entities to bill medicare on his behalf.
Entity NameUrology Center Of So Calif Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750604948
PECOS PAC ID: 6406745439
Enrollment ID: O20040315001245

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Entity NameMission Urology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063874337
PECOS PAC ID: 2466751888
Enrollment ID: O20160505001643

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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. Dr Ken Takesita 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
Dr Ken Takesita, MD
4500 Brockton Ave Ste 301,
Riverside, CA 92501-4027

Ph: (626) 396-1105
Dr Ken Takesita, MD
4500 Brockton Ave Ste 301,
Riverside, CA 92501-4027

Ph: (951) 276-4505

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› Verified 9 days ago


Urology Doctors in Riverside, CA

Brandon Garret Louie, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 4244 Riverwalk Pkwy Ste 240, Riverside, CA 92505
Phone: 951-509-3580    Fax: 951-509-4552
Dr. Lincoln J Maynes, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 10800 Magnolia Ave, Kaiser Permanente Riverside Medical Center, Mob-2, Riverside, CA 92505
Phone: 951-353-3230    Fax: 951-353-5762
Alex G Batta, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 7117 Brockton Ave, Riverside, CA 92506
Phone: 951-782-3671    Fax: 951-784-3264
Eric J. Forneret, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 10800 Magnolia Ave, Riverside, CA 92505
Phone: 909-353-2000    
Aravind Chandrashekar, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 10800 Magnolia Ave, Riverside, CA 92505
Phone: 866-984-7483    
Raul Ordorica, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 10800 Magnolia Ave, Riverside, CA 92505
Phone: 951-353-5019    
Benjamin Kattle Yang, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 7117 Brockton Ave., Riverside, CA 92506
Phone: 951-782-3696    Fax: 951-784-3264

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