Jared Kenney, DDS in Maricopa, AZ - Medicare Dentist Provider

Jared Kenney, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Maricopa, Arizona. His current practice location is 21300 N John Wayne Pkwy Ste 114, Maricopa, Arizona. You can reach out to his office (for appointments etc.) via phone at (916) 204-8762.

Jared Kenney is licensed to practice in Arizona (license number D009960) 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 1104238716.

Contact Information

	Jared Kenney, DDS
	21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139
	(916) 204-8762
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jared Kenney
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	21300 N John Wayne Pkwy Ste 114, Maricopa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104238716
Provider Enumeration Date: 05/30/2014
Last Update Date: 07/23/2018

Medicare PECOS Information:

PECOS PAC ID: 8729312491
Enrollment ID: I20200302002125

Medical Identifiers

Medical identifiers for Jared Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104238716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D009960 (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. Jared Kenney allows following entities to bill medicare on his behalf.

Entity Name	Oasis Oral And Facial Surgery Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023593068 PECOS PAC ID: 7810221587 Enrollment ID: O20190628002889

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. Jared Kenney 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
Jared Kenney, DDS 3232 E Redwood Ln, Phoenix, AZ 85048-7834 Ph: (916) 204-8762	Jared Kenney, DDS 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 Ph: (916) 204-8762

Reviews and Comments

Dentist in Maricopa, AZ

Dr. Taryn Elizabeth Wollschlager, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44870 W Hathaway Ave, Maricopa, AZ 85139 Phone: 520-568-7004
Austin Calaway, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 21300 N John Wayne Pkwy Ste 108, Maricopa, AZ 85139 Phone: 520-494-7578
Meena A Kasisa, DMD Dentist Medicare: Medicare Enrolled Practice Location: 41620 W Maricopa Casa Grande Hwy Ste 110, Maricopa, AZ 85138 Phone: 520-568-2800
Dr. Igor Borisov, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44480 W Honeycutt Rd Ste 110, Maricopa, AZ 85138 Phone: 520-568-9100
Dr. James Francis Myers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44480 W Honeycutt Ave Ste 109, Maricopa, AZ 85138 Phone: 520-568-7630
Dr. Jared Michael Pope, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138 Phone: 520-568-9100 Fax: 520-568-9190

Jared Kenney, DDS - Medicare Dentist in Maricopa, AZ