Derik K Kenworthy, DO in Chandler, AZ - Medicare Diagnostic Radiology

Derik K Kenworthy, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chandler, Arizona. He went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2019 and has 6 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Gonzales Healthcare Systems, Inspire Radiology Group Llc, Bay Area Hospital District, Inspire Radiology Group Llc, Baker Community Health Center Inc, Lower Umpqua Hospital District and his current practice location is 1979 W Ray Rd, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 821-9404.

Derik K Kenworthy is licensed to practice in Oregon (license number DO220167) 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 1861726077.

Contact Information

	Derik K Kenworthy, DO
	1979 W Ray Rd, Chandler, AZ 85224-4007
	(480) 821-9404
	(480) 857-1490

Map and Direction

Physician's Profile

Full Name	Derik K Kenworthy
Gender	Male
Speciality	Diagnostic Radiology
Experience	6 Years
Location	1979 W Ray Rd, Chandler, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derik K Kenworthy attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2019

NPI Data:

NPI Number: 1861726077
Provider Enumeration Date: 09/22/2009
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5193852077
Enrollment ID: I20240920003617

Medical Identifiers

Medical identifiers for Derik K Kenworthy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861726077	NPI	-	NPPES
Z173125	Other		MEDICARE PTAN
503865	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	DO220167 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bay Area Hospital	Coos bay, OR	Hospital
Memorial Hospital	Gonzales, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gonzales Healthcare Systems	8527963776	32
Inspire Radiology Group Llc	2365975216	17
Bay Area Hospital District	2163331000	100
Inspire Radiology Group Llc	2365975216	17
Baker Community Health Center Inc	3779689807	25
Lower Umpqua Hospital District	6800703562	36

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. Derik K Kenworthy allows following entities to bill medicare on his behalf.

Entity Name	Gonzales Healthcare Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013916287 PECOS PAC ID: 8527963776 Enrollment ID: O20040316001074

Entity Name	Preferred Hospital Leasing Coleman Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275938714 PECOS PAC ID: 4789574724 Enrollment ID: O20040319000688

Entity Name	Preferred Hospital Leasing Van Horn Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073579942 PECOS PAC ID: 1456381540 Enrollment ID: O20051026000398

Entity Name	Preferred Hospital Leasing Hemphill, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811256696 PECOS PAC ID: 1759467111 Enrollment ID: O20090106000543

Entity Name	Preferred Hospital Leasing Junction, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578729653 PECOS PAC ID: 4981762051 Enrollment ID: O20091113000439

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. Derik K 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 Address	Practice Location Address
Derik K Kenworthy, DO 1250 S Clearview Ave Ste 100, Mesa, AZ 85209-3378 Ph: (480) 988-9108	Derik K Kenworthy, DO 1979 W Ray Rd, Chandler, AZ 85224-4007 Ph: (480) 821-9404

Reviews and Comments

Radiology Doctors in Chandler, AZ

Gujjarappa Srinivas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 S Dobson Rd, Suite# E 42, Chandler, AZ 85224 Phone: 480-963-4183 Fax: 480-963-4184
Alice F. Tsai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-2838 Fax: 480-821-9444
Robert Baldwin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-3179 Fax: 480-821-3989
Jay Boyer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-3179 Fax: 480-821-3989
Dr. Stamatis Kantartzis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000
Janice R.l. Smith, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-3179 Fax: 480-821-3989
Eric T Gross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-2838 Fax: 480-821-9444

Derik K Kenworthy, DO - Medicare Diagnostic Radiology in Chandler, AZ