Dr Kenneth A Decoursey, MD in Cape Girardeau, MO

Dr Kenneth A Decoursey, MD is a medicare enrolled "Family Medicine" physician in Cape Girardeau, Missouri. His current practice location is 1723 Broadway, Suite 120, Cape Girardeau, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 334-7194.

Dr Kenneth A Decoursey is licensed to practice in Missouri (license number 102354) 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 1356473797.

Contact Information

	Dr Kenneth A Decoursey, MD
	1723 Broadway, Suite 120, Cape Girardeau, MO 63701
	(573) 334-7194
	(573) 334-4937

Map and Direction

Physician's Profile

Full Name	Dr Kenneth A Decoursey
Gender	Male
Speciality	Family Medicine
Location	1723 Broadway, Suite 120, Cape Girardeau, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356473797
Provider Enumeration Date: 03/12/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 3577452440
Enrollment ID: I20040311000085

Medical Identifiers

Medical identifiers for Dr Kenneth A Decoursey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356473797	NPI	-	NPPES
P00056880	Other		RAILROAD MEDICARE ID
DA3724	Other		RAILROAD MEDICARE ID
0106771	Other		UNITED HEALTHCARE
649138	Other		HEALTHLINK
131268	Other	MO	BLUE CROSS BLUE SHIELD
180360	Other	MO	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	102354 (Missouri)	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. Dr Kenneth A Decoursey allows following entities to bill medicare on his behalf.

Entity Name	Southeast Missouri Hospital Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775

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 Kenneth A Decoursey 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
Dr Kenneth A Decoursey, MD 5311 Lexington St, Jackson, MO 63755-3825 Ph: () -	Dr Kenneth A Decoursey, MD 1723 Broadway, Suite 120, Cape Girardeau, MO 63701 Ph: (573) 334-7194

Reviews and Comments

Family Medicine Doctors in Cape Girardeau, MO

Lori A Moyers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3129 Blattner Dr, Cape Girardeau, MO 63703 Phone: 573-335-0166 Fax: 573-335-7942
Dr. Roderic Clayton Crist, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3095 Lexington Ave, Suite 200, Cape Girardeau, MO 63701 Phone: 573-339-0004
John Van Earnhart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 S Mount Auburn Rd, Suite 418, Cape Girardeau, MO 63703 Phone: 573-332-6000
Kenneth Dean Phillips Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-651-1333 Fax: 573-651-1324
John V. Mackel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-9637 Fax: 573-335-0147
Dr. Jehan Pascal Murugaser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 817 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-519-4500 Fax: 573-519-4530
Dr. James E Palen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3129 Blattner Dr, Cape Girardeau, MO 63703 Phone: 573-335-0166 Fax: 573-335-7942

Dr Kenneth A Decoursey, MD - Medicare Family Medicine in Cape Girardeau, MO