Dr Kenneth Dudley Locke, DO - Medicare Emergency Medicine in Fort Mohave, AZ

  1. Home
  2. Emergency Medicine
  3. AZ
  4. Fort Mohave
Dr Kenneth Dudley Locke, DO is a medicare enrolled "Emergency Medicine" physician in Fort Mohave, Arizona. His current practice location is 5330 S Highway 95, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 788-7069.

Dr Kenneth Dudley Locke is licensed to practice in Arizona (license number 3072) 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 1518947886.

Contact Information

Dr Kenneth Dudley Locke, DO
5330 S Highway 95,
Fort Mohave, AZ 86426-9225
(928) 788-7069
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Dudley Locke
GenderMale
SpecialityEmergency Medicine
Location5330 S Highway 95, Fort Mohave, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518947886
  • Provider Enumeration Date: 01/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2860415130
  • Enrollment ID: I20060112000599

Medical Identifiers

Medical identifiers for Dr Kenneth Dudley Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518947886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 3072 (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. Dr Kenneth Dudley Locke allows following entities to bill medicare on his behalf.
Entity NameTempe Emergency Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376934315
PECOS PAC ID: 2365337300
Enrollment ID: O20040218000500
Entity NameEmergency Physicians Southwest Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382
Entity NameNes Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205217700
PECOS PAC ID: 2163737206
Enrollment ID: O20150818005113

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 Dudley Locke 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 Kenneth Dudley Locke, DO
1660 E Lakeside Dr # 391,
Bullhead City, AZ 86442-6544

Ph: (702) 449-5031		Dr Kenneth Dudley Locke, DO
5330 S Highway 95,
Fort Mohave, AZ 86426-9225

Ph: (928) 788-7069

Reviews and Comments


Emergency Medicine Doctors in Fort Mohave, AZ

Dr. Nathaniel Charles Hollister, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426
Phone: 928-788-2273    
Dr. Mark E Laursen, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426
Phone: 928-788-7064    
Dr. Scott Andrew Havens, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426
Phone: 928-788-3333    Fax: 928-788-3555

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.