Dr Kenneth Hilsbos, MD - Medicare Family Practice in Fairmont, WV

Dr Kenneth Hilsbos, MD is a medicare enrolled "Family Medicine" physician in Fairmont, West Virginia. He went to West Virginia University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. His current practice location is 5 Erwin Ln Ste B, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 612-9186.

Dr Kenneth Hilsbos is licensed to practice in West Virginia (license number 17553) 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 1912922980.

Contact Information

Dr Kenneth Hilsbos, MD
5 Erwin Ln Ste B,
Fairmont, WV 26554-1376
(304) 612-9186
(304) 366-7763

Map and Direction




Physician's Profile

Full NameDr Kenneth Hilsbos
GenderMale
SpecialityFamily Practice
Experience34 Years
Location5 Erwin Ln Ste B, Fairmont, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenneth Hilsbos attended and graduated from West Virginia University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1912922980
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 06/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678536935
  • Enrollment ID: I20041202000119

Medical Identifiers

Medical identifiers for Dr Kenneth Hilsbos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912922980NPI-NPPES
3810003579MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 17553 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Virginia University HospitalsMorgantown, WVHospital

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 Hilsbos allows following entities to bill medicare on his behalf.
Entity NameHilsbos Family Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134151228
PECOS PAC ID: 9830123009
Enrollment ID: O20050927000325

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 Hilsbos 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 Hilsbos, MD
5 Erwin Ln Ste B,
Fairmont, WV 26554-1376

Ph: (304) 612-9186
Dr Kenneth Hilsbos, MD
5 Erwin Ln Ste B,
Fairmont, WV 26554-1376

Ph: (304) 612-9186

Reviews and Comments


Family Medicine Doctors in Fairmont, WV

Perry L Hall Iii, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1836 Locust Avenue, Suite 1, Fairmont, WV 26554
Phone: 304-366-7767    Fax: 304-366-8837
Candace C Chidester, MD
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Medicare: Medicare Enrolled
Practice Location: 1840 Locust Ave, Fairmont, WV 26554
Phone: 304-366-6907    Fax: 304-366-6216
Dr. Richard E Vasicek, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 177 Middletown Rd Ste 1, Fairmont, WV 26554
Phone: 304-363-6600    
William Ryan Walker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Huntington Way Ste 100, Fairmont, WV 26554
Phone: 304-368-2422    Fax: 304-368-2426
Melinda Frazee,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Stoney Hill Rd, Fairmont, WV 26554
Phone: 304-285-5400    
Dr. Michael S Schroering, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    Fax: 304-366-9529
Lisa M Flower, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Huntington Way Ste 100, Fairmont, WV 26554
Phone: 304-368-2422    Fax: 304-368-2426

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.