Kenneth A Orchard, MD is a
Family Medicine physician based in Pingree Grove, Illinois. Kenneth A Orchard is licensed to practice in Tennessee (license number 28715) and his current practice location is 1035 Valley Stream Dr, Pingree Grove, Illinois. He can be reached at his office (for appointments etc.) via phone at
(615) 260-5205.
NPI number for Kenneth A Orchard is 1891814653 and his current mailing address is 1035 Valley Stream Dr, Pingree Grove, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891814653.
Physician's Profile
| Full Name | Kenneth A Orchard |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1035 Valley Stream Dr, Pingree Grove, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891814653
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 10/26/2018
Medical Identifiers
Medical identifiers for Kenneth A Orchard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891814653 | NPI | - | NPPES |
| 103I082013 | Other | TN | MEDICARE MCRPTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 28715 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 28715 (Tennessee) | Primary |
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. Kenneth A Orchard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth A Orchard, MD
1035 Valley Stream Dr,
Pingree Grove, IL 60140-9137
Ph: (615) 260-5205 | Kenneth A Orchard, MD
1035 Valley Stream Dr,
Pingree Grove, IL 60140-9137
Ph: (615) 260-5205 |
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