Kenneth R Boren, MD - Medicare Internal Medicine in Mesa, AZ

Kenneth R Boren, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mesa, Arizona. His current practice location is 4040 E Mclellan Rd Unit 11, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 229-2829.

Kenneth R Boren is licensed to practice in Arizona (license number 12288) 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 1043205511.

Contact Information

Kenneth R Boren, MD
4040 E Mclellan Rd Unit 11,
Mesa, AZ 85205-3105
(480) 229-2829
Not Available



Physician's Profile

Full NameKenneth R Boren
GenderMale
SpecialityInternal Medicine - Nephrology
Location4040 E Mclellan Rd Unit 11, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043205511
  • Provider Enumeration Date: 09/12/2005
  • Last Update Date: 08/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072415363
  • Enrollment ID: I20050822001292

Medical Identifiers

Medical identifiers for Kenneth R Boren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043205511NPI-NPPES
226911MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 12288 (Arizona)Primary

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 R Boren 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
Kenneth R Boren, MD
4040 E Mclellan Rd Unit 11,
Mesa, AZ 85205-3105

Ph: (480) 229-2829
Kenneth R Boren, MD
4040 E Mclellan Rd Unit 11,
Mesa, AZ 85205-3105

Ph: (480) 229-2829

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Internal Medicine Doctors in Mesa, AZ

Dr. Emmanuel A Bayongan, M.D.
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Mr. Robert Bobek Arashahi, M.D.
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Practice Location: 5652 E Baseline Rd, Mesa, AZ 85206
Phone: 480-477-7166    
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Practice Location: 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208
Phone: 480-981-9800    Fax: 480-985-9465
Joshua D Cohen, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 6750 E Baywood Ave, 301, Mesa, AZ 85206
Phone: 480-835-6100    Fax: 480-461-4261

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