Dr Kevin Matthew Kerchansky, DC, FNP-C, DACRB is a medicare enrolled "Nurse Practitioner - Family" provider in Phoenix, Arizona. His current practice location is
6036 N 19th Ave Ste 204, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 616-0356.
Dr Kevin Matthew Kerchansky is licensed to practice in Arizona (license number 251086) 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 1407988785.
Healthcare Provider's Profile
| Full Name | Dr Kevin Matthew Kerchansky |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6036 N 19th Ave Ste 204, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407988785
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103801717
- Enrollment ID: I20210818001876
Medical Identifiers
Medical identifiers for Dr Kevin Matthew Kerchansky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407988785 | NPI | - | NPPES |
| 11172882 | Other | OH | CAQH # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3728 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 251086 (Arizona) | 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 Kevin Matthew Kerchansky allows following entities to bill medicare on his behalf.
| Provider Name | Triad Pain Management Group Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477802536
PECOS PAC ID: 8820242803
Enrollment ID: O20130128000319 |
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| Provider Name | Freedom Health Interventional Centers Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508364860
PECOS PAC ID: 8325309347
Enrollment ID: O20180307001387 |
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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 Kevin Matthew Kerchansky 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 |
|---|
Dr Kevin Matthew Kerchansky, DC, FNP-C, DACRB
Po Box 29650 Dept # 880391,
Phoenix, AZ 85038
Ph: (480) 626-1746 | Dr Kevin Matthew Kerchansky, DC, FNP-C, DACRB
6036 N 19th Ave Ste 204,
Phoenix, AZ 85015-2104
Ph: (480) 616-0356 |
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