Dr Tracy Martig Kennetz, MD in Springfield, MO

Dr Tracy Martig Kennetz, MD is a medicare enrolled "Emergency Medicine" physician in Springfield, Missouri. Her current practice location is 1423 N National Ave, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-6583.

Dr Tracy Martig Kennetz is licensed to practice in Arkansas (license number E-11413) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790774362.

Contact Information

	Dr Tracy Martig Kennetz, MD
	1423 N National Ave, Springfield, MO 65802-2047
	(417) 269-6583
	(417) 269-6573

Map and Direction

Physician's Profile

Full Name	Dr Tracy Martig Kennetz
Gender	Female
Speciality	Emergency Medicine
Location	1423 N National Ave, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790774362
Provider Enumeration Date: 10/17/2005
Last Update Date: 10/01/2018

Medicare PECOS Information:

PECOS PAC ID: 6406741354
Enrollment ID: I20181024002587

Medical Identifiers

Medical identifiers for Dr Tracy Martig Kennetz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790774362	NPI	-	NPPES
205227101	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2001004533 (Missouri)	Secondary
207P00000X	Emergency Medicine	E-11413 (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 Tracy Martig Kennetz allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201

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 Tracy Martig Kennetz 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 Tracy Martig Kennetz, MD 1304 E Republic Rd, Springfield, MO 65804-7210 Ph: (417) 269-6583	Dr Tracy Martig Kennetz, MD 1423 N National Ave, Springfield, MO 65802-2047 Ph: (417) 269-6583

Reviews and Comments

Emergency Medicine Doctors in Springfield, MO

Janel M Ochse, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000
Gregory J Kutter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6583 Fax: 417-269-6573
Douglas Scott Ham, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6583 Fax: 417-269-6573
Daryl Thomas Steen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000
Dr. David Darmsteadter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2115
Jeremy O'shea, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 Fax: 417-269-6573
Dr. Jacob Lee Spain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000

Dr Tracy Martig Kennetz, MD - Medicare Emergency Medicine in Springfield, MO