Dr Kevin Robert Mahoney, MD is a medicare enrolled "Emergency Medicine" physician in Thermopolis, Wyoming. He went to Medical College Of Wisconsin and graduated in 1994 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northwest Emergency Physicians Llc and his current practice location is
120 N C Ave, Thermopolis, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 864-5534.
Dr Kevin Robert Mahoney is licensed to practice in Wyoming (license number 5591A) 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 1164494241.
Physician's Profile
| Full Name | Dr Kevin Robert Mahoney |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 32 Years |
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| Location | 120 N C Ave, Thermopolis, Wyoming |
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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 Kevin Robert Mahoney attended and graduated from Medical College Of Wisconsin in 1994
NPI Data:
- NPI Number: 1164494241
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133103070
- Enrollment ID: I20040712000597
Medical Identifiers
Medical identifiers for Dr Kevin Robert Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164494241 | NPI | - | NPPES |
| 110846800 | Medicaid | WY | |
| 512KRM98 | Other | WY | WY CONTROLLED SUBSTANCE # |
| 5591AWY | Other | WY | WY MEDICAL LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5591AWY (Wyoming) | Secondary |
| 207P00000X | Emergency Medicine | 5591A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northwest Emergency Physicians Llc | 3476462334 | 217 |
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 Kevin Robert Mahoney allows following entities to bill medicare on his behalf.
| Entity Name | Hot Springs County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861550642
PECOS PAC ID: 9234020439
Enrollment ID: O20040324001069 |
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| Entity Name | Memorial Hospital Of Sheridan County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487707188
PECOS PAC ID: 2163405440
Enrollment ID: O20040608001286 |
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| Entity Name | Northwest Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235172370
PECOS PAC ID: 3476462334
Enrollment ID: O20060227000540 |
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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 Kevin Robert Mahoney 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 Kevin Robert Mahoney, MD
120 N C Ave,
Thermopolis, WY 82443-2410
Ph: (307) 864-5534 | Dr Kevin Robert Mahoney, MD
120 N C Ave,
Thermopolis, WY 82443-2410
Ph: (307) 864-5534 |
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