Kendall P Deselms, DO, DC is a medicare enrolled "Family Medicine" provider in Cameron, Missouri. His current practice location is
221 E 7th St, Cameron, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 632-8407.
Kendall P Deselms is licensed to practice in Missouri (license number 107636) 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 1164406278.
Healthcare Provider's Profile
| Full Name | Kendall P Deselms |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 221 E 7th St, Cameron, Missouri |
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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:
- Kendall P Deselms attended and graduated from in
NPI Data:
- NPI Number: 1164406278
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 12/02/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kendall P Deselms such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164406278 | NPI | - | NPPES |
| 785D378 | Other | MO | MEDICARE PART B |
| P00191306 | Other | MO | MEDICARE RAILROAD |
| 249751009 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 005457 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 107636 (Missouri) | 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. Kendall P Deselms 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 |
|---|
Kendall P Deselms, DO, DC
1600 E Evergreen St, Po Box 557,
Cameron, MO 64429-2400
Ph: (816) 632-2101 | Kendall P Deselms, DO, DC
221 E 7th St,
Cameron, MO 64429-1722
Ph: (816) 632-8407 |
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