Kenneth Dell Dembny Ii, MD is a medicare enrolled "Plastic Surgery" physician in Wauwatosa, Wisconsin. His current practice location is
201 N Mayfair Rd, Suite 530, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 443-0033.
Kenneth Dell Dembny Ii is licensed to practice in Wisconsin (license number 35379020) 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 1851367585.
Physician's Profile
| Full Name | Kenneth Dell Dembny Ii |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 201 N Mayfair Rd, Wauwatosa, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851367585
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709874027
- Enrollment ID: I20040505000399
Medical Identifiers
Medical identifiers for Kenneth Dell Dembny Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851367585 | NPI | - | NPPES |
| 33331000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208200000X | Plastic Surgery | 35379020 (Wisconsin) | 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. Kenneth Dell Dembny Ii allows following entities to bill medicare on his behalf.
| Entity Name | Cj Hussussian Md Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831260405 PECOS PAC ID: 1456339993 Enrollment ID: O20040710000316 |
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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. Kenneth Dell Dembny Ii 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 |
Kenneth Dell Dembny Ii, MD 13405 Juneau Blvd, Elm Grove, WI 53122-1723 Ph: (262) 797-6176 | Kenneth Dell Dembny Ii, MD 201 N Mayfair Rd, Suite 530, Wauwatosa, WI 53226-4216 Ph: (414) 443-0033 |
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