| Dr Thomas J Kenny Iv, MD | |
|
101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | |
| (605) 217-4320 | |
| (605) 217-2948 |
| Full Name | Dr Thomas J Kenny Iv |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 101 Tower Rd, Dakota Dunes, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386694354 | NPI | - | NPPES |
| 2239616 | Medicaid | IA | |
| 7701502 | Medicaid | SD | |
| 7701503 | Medicaid | SD | |
| 37196 | Other | IA | BLUE CROSS PROVIDER NUM |
| 10025206800 | Medicaid | NE | |
| 100251553 00 | Medicaid | NE | |
| 1239616 | Medicaid | IA | |
| 37777 | Other | IA | 2ND BCBS PROVIDER NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 34004 (Iowa) | Secondary |
| 207Y00000X | Otolaryngology | 5111 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ear Nose And Throat Consultants And Hearing Services Plc | 9335249457 | 13 |
| Ear Nose And Throat Consultants And Hearing Services Plc | 9335249457 | 13 |
| Entity Name | Ear Nose And Throat Consultants And Hearing Services Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114141546 PECOS PAC ID: 9335249457 Enrollment ID: O20070703000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas J Kenny Iv, MD 956 Pebble Beach Dr, Dakota Dunes, SD 57049-5107 Ph: (605) 422-1080 | Dr Thomas J Kenny Iv, MD 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 Ph: (605) 217-4320 |
Dr. Catherine Merna, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 Phone: 605-217-4320 Fax: 605-217-2948 | |
Dr. Reason Andrew Ford, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049 Phone: 605-217-4320 Fax: 605-217-2948 | |
Dr. Sarah P Powell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049 Phone: 605-217-4320 Fax: 605-217-2948 |