Dr Amy T Kenworthy, MD - Medicare Emergency Medicine in Waupaca, WI

  1. Home
  2. Emergency Medicine
  3. WI
  4. Waupaca
Dr Amy T Kenworthy, MD is a medicare enrolled "Emergency Medicine" physician in Waupaca, Wisconsin. She went to University Of Missouri, Columbia School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Trinity Medical Center, Trinity Medical Center, Trinity Regional Medical Center and her current practice location is 800 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 258-1000.

Dr Amy T Kenworthy is licensed to practice in Wisconsin (license number 285-320) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346335254.

Contact Information

Dr Amy T Kenworthy, MD
800 Riverside Dr,
Waupaca, WI 54981-1943
(715) 258-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Amy T Kenworthy
GenderFemale
SpecialityEmergency Medicine
Experience43 Years
Location800 Riverside Dr, Waupaca, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Amy T Kenworthy attended and graduated from University Of Missouri, Columbia School Of Medicine in 1981
  NPI Data:
  • NPI Number: 1346335254
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 12/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012997109
  • Enrollment ID: I20171019001611

Medical Identifiers

Medical identifiers for Dr Amy T Kenworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346335254NPI-NPPES
119346500MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 6969A (Wyoming)Secondary
207R00000XInternal Medicine MD22847 (Maine)Secondary
207R00000XInternal Medicine 35.053893 (Ohio)Secondary
207R00000XInternal Medicine 36143235 (Illinois)Secondary
207P00000XEmergency Medicine 285-320 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Regional Medical CenterFort dodge, IAHospital
Unitypoint Health-marshalltownMarshalltown, IAHospital
Trinity - BettendorfBettendorf, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Medical Center226433751893
Trinity Medical Center226433751893
Trinity Regional Medical Center7315858529118

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 Amy T Kenworthy allows following entities to bill medicare on her behalf.
Entity NameTrinity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568414134
PECOS PAC ID: 2264337518
Enrollment ID: O20031203000016
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669420766
PECOS PAC ID: 0446140180
Enrollment ID: O20040611000228
Entity NameIhc-litchfield Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518474048
PECOS PAC ID: 1456611375
Enrollment ID: O20180213002922
Entity NameGlutality Provider Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083256168
PECOS PAC ID: 9032549837
Enrollment ID: O20200914000241

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 Amy T Kenworthy 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
Dr Amy T Kenworthy, MD
83 Deer Valley Dr,
Lander, WY 82520-9780

Ph: (307) 335-8248		Dr Amy T Kenworthy, MD
800 Riverside Dr,
Waupaca, WI 54981-1943

Ph: (715) 258-1000

Reviews and Comments


Emergency Medicine Doctors in Waupaca, WI

Dr. Logan Robert Gorges, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1000    Fax: 715-258-1042
Francesca L Detrana, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1000    Fax: 715-258-1632
Dr. Matthew Paul Nelson, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1000    
Dr. Charles Conger, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 800 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1041    
Dale T Bertram, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 Honey Bear Ct, Waupaca, WI 54981
Phone: 608-516-9278    
Matheen Ahmad Mohabbat, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1000    

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.