Dr Kenneth Michael Kingdon, MD is a medicare enrolled "Emergency Medicine" physician in Brewster, Washington. He went to Baylor College Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Vancouver Clinic Inc Ps and his current practice location is
Po Box 577, Brewster, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 689-2517.
Dr Kenneth Michael Kingdon is licensed to practice in Washington (license number MD61498906) 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 1114067196.
Physician's Profile
| Full Name | Dr Kenneth Michael Kingdon |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 23 Years |
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| Location | Po Box 577, Brewster, Washington |
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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. |
Medical Education and Training:
- Dr Kenneth Michael Kingdon attended and graduated from Baylor College Of Medicine in 2003
NPI Data:
- NPI Number: 1114067196
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 03/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406014653
- Enrollment ID: I20240522003150
Medical Identifiers
Medical identifiers for Dr Kenneth Michael Kingdon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114067196 | NPI | - | NPPES |
| 036126885 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | MD61498906 (Washington) | Primary |
| 207P00000X | Emergency Medicine | P4471 (Texas) | Secondary |
| 208600000X | Surgery | P4471 (Texas) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | P4471 (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The Vancouver Clinic Inc Ps | 3173436490 | 512 |
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 Michael Kingdon allows following entities to bill medicare on his behalf.
| Entity Name | The Vancouver Clinic Inc Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
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| Entity Name | Okanogan Douglas County Hospital Dist 1 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205942257 PECOS PAC ID: 7810882792 Enrollment ID: O20040219000122 |
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| Entity Name | Okanogan Douglas County Hospital Dist 1 |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1356305395 PECOS PAC ID: 7810882792 Enrollment ID: O20080107000645 |
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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 Michael Kingdon 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 Michael Kingdon, MD Po Box 577, Brewster, WA 98812-0577 Ph: (509) 689-2517 | Dr Kenneth Michael Kingdon, MD Po Box 577, Brewster, WA 98812-0577 Ph: (509) 689-2517 |
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