Dr Kenneth Ronald Dority, DO in Arlington, TX

Dr Kenneth Ronald Dority, DO is a medicare enrolled "Family Medicine" physician in Arlington, Texas. His current practice location is 2912 Kraft St Ste 30, Arlington, Texas. You can reach out to his office (for appointments etc.) via phone at (402) 885-0365.

Dr Kenneth Ronald Dority is licensed to practice in Texas (license number K0722) 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 1659313328.

Contact Information

	Dr Kenneth Ronald Dority, DO
	2912 Kraft St Ste 30, Arlington, TX 76010-5410
	(402) 885-0365
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Ronald Dority
Gender	Male
Speciality	Family Medicine
Location	2912 Kraft St Ste 30, Arlington, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659313328
Provider Enumeration Date: 06/10/2006
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1052349388
Enrollment ID: I20050728000828

Medical Identifiers

Medical identifiers for Dr Kenneth Ronald Dority such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659313328	NPI	-	NPPES
146888602	Medicaid	TX
8R6745	Other	TX	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0401X	Family Medicine - Addiction Medicine	K0722 (Texas)	Secondary
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	K0722 (Texas)	Secondary
2083X0100X	Preventive Medicine - Occupational Medicine	K0722 (Texas)	Secondary
207Q00000X	Family Medicine	K0722 (Texas)	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 Ronald Dority allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Pain Clinic, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356615074 PECOS PAC ID: 3173786316 Enrollment ID: O20120525000068

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 Ronald Dority 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 Ronald Dority, DO 8414 Flower Meadow Dr, Dallas, TX 75243-7424 Ph: (214) 349-7440	Dr Kenneth Ronald Dority, DO 2912 Kraft St Ste 30, Arlington, TX 76010-5410 Ph: (402) 885-0365

Reviews and Comments

Family Medicine Doctors in Arlington, TX

Dr. Thomas Joseph Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Matlock Rd Ste 102, Arlington, TX 76015 Phone: 817-467-9096 Fax: 817-472-9338
Dennis E Poquiz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2309 W Green Oaks Blvd, Arlington, TX 76016 Phone: 817-496-4957 Fax: 817-496-3783
Dr. Donna B Baker, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 S Fielder Rd, Arlington, TX 76013 Phone: 817-277-2221
Chi Ha Vu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W Arkansas Ln Ste 150, Arlington, TX 76013 Phone: 817-702-1100 Fax: 817-702-4801
Dr. Sherley Aramath, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2415 Matlock Rd, Arlington, TX 76015 Phone: 817-677-2444
Bruce A Henry, M.D.,P.A. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 Se Green Oaks Blvd Ste 100, Arlington, TX 76018 Phone: 817-466-7412 Fax: 817-466-7493
Hanh N Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 811 W Interstate 20 Ste G-22, Arlington, TX 76017 Phone: 817-468-3393 Fax: 817-468-8734

Dr Kenneth Ronald Dority, DO - Medicare Family Medicine in Arlington, TX