Kenedy Fomenko, DMD - Dentist in Mancelona, MI

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Kenedy Fomenko, DMD is a Dentist - General Practice based in Mancelona, Michigan. Kenedy Fomenko is licensed to practice in Michigan (license number 2901602262) and her current practice location is 205 Grove St, Mancelona, Michigan. She can be reached at her office (for appointments etc.) via phone at (866) 878-6553.

NPI number for Kenedy Fomenko is 1528801081 and her current mailing address is 1896 Lighthouse Ln, Traverse City, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528801081.

Contact Information

Kenedy Fomenko, DMD
205 Grove St,
Mancelona, MI 49659-8018
(866) 878-6553
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKenedy Fomenko
GenderFemale
SpecialityDentist - General Practice
Location205 Grove St, Mancelona, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528801081
  • Provider Enumeration Date: 06/13/2024
  • Last Update Date: 06/13/2024

Medical Identifiers

Medical identifiers for Kenedy Fomenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528801081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2901602262 (Michigan)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. Kenedy Fomenko is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenedy Fomenko, DMD
1896 Lighthouse Ln,
Traverse City, MI 49696-9302

Ph: (989) 280-0602		Kenedy Fomenko, DMD
205 Grove St,
Mancelona, MI 49659-8018

Ph: (866) 878-6553

Reviews and Comments


Dentist in Mancelona, MI

Dr. John Lamar Thumm, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 204 W. State St, Mancelona, MI 49659
Phone: 231-587-9458    Fax: 231-587-9071
Amanda Marie Desjardins, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 205 Grove St, Mancelona, MI 49659
Phone: 231-587-5068    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.