Dr Kenneth Marcus Poemoceah, MD in Gravette, AR

Dr Kenneth Marcus Poemoceah, MD is a medicare enrolled "Family Medicine" physician in Gravette, Arkansas. His current practice location is 1102 Jackson St Sw, Gravette, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 787-5221.

Dr Kenneth Marcus Poemoceah is licensed to practice in Arkansas (license number N8028) 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 1881652592.

Contact Information

	Dr Kenneth Marcus Poemoceah, MD
	1102 Jackson St Sw, Gravette, AR 72736-9121
	(479) 787-5221
	(479) 787-5613

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Marcus Poemoceah
Gender	Male
Speciality	Family Medicine
Location	1102 Jackson St Sw, Gravette, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881652592
Provider Enumeration Date: 05/02/2006
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8224931936
Enrollment ID: I20040129001155

Medical Identifiers

Medical identifiers for Dr Kenneth Marcus Poemoceah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881652592	NPI	-	NPPES
100096320A	Medicaid	OK
117997001	Medicaid	AR
202892501	Medicaid	MO
54175	Other	AR	BCBS (AR)
P00298552	Other	AR	RAILROAD MEDICARE
100726240D	Other	OK	OK GROUP MEDICAID NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	N8028 (Arkansas)	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 Marcus Poemoceah allows following entities to bill medicare on his behalf.

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20190905000100

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 Marcus Poemoceah 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 Marcus Poemoceah, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221	Dr Kenneth Marcus Poemoceah, MD 1102 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221

Reviews and Comments

Family Medicine Doctors in Gravette, AR

Dr. David John Tucker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613
Dr. Nancy L Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613
Rayetta Eaton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404
Dr. Vijay Kumar Kannam, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613
Dr. William Frank Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613

Dr Kenneth Marcus Poemoceah, MD - Medicare Family Medicine in Gravette, AR