Dr Kenneth J Knudtson, MD is a medicare enrolled "Ophthalmology" physician in Brookings, South Dakota. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice City Of Brookings and his current practice location is
2311 Yorkshire Drive, Ste C, Brookings, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 692-7315.
Dr Kenneth J Knudtson is licensed to practice in South Dakota (license number 4922) 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 1447234984.
Physician's Profile
| Full Name | Dr Kenneth J Knudtson |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 29 Years |
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| Location | 2311 Yorkshire Drive, Brookings, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth J Knudtson graduated from medical school in 1995
NPI Data:
- NPI Number: 1447234984
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 07/01/2009
Medicare PECOS Information:
- PECOS PAC ID: 4880595917
- Enrollment ID: I20041207000512
Medical Identifiers
Medical identifiers for Dr Kenneth J Knudtson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447234984 | NPI | - | NPPES |
| 6300590 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 4922 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Of Brookings | 1052307105 | 85 |
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 J Knudtson allows following entities to bill medicare on his behalf.
| Entity Name | City Of Brookings |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932281029
PECOS PAC ID: 1052307105
Enrollment ID: O20040423000002 |
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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 J Knudtson 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 |
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Dr Kenneth J Knudtson, MD
2311 Yorkshire Drive, Ste C,
Brookings, SD 57006-2446
Ph: (605) 692-7315 | Dr Kenneth J Knudtson, MD
2311 Yorkshire Drive, Ste C,
Brookings, SD 57006-2446
Ph: (605) 692-7315 |
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