Kenneth Edgar, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Venetia, Pennsylvania. He went to University Of Michigan Medical School and graduated in 1993 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Shannon Clinic, Eastern Radiological Associates Pc, Shannon Clinic, Mercy Diagnostic Imaging Pc, Acadiana Radiology Group, Corvallis Radiology Pc, White Mountain Radiology, X-ray Professional Association, Carilion Giles Community Hospital, Columbus Radiology Physicians Llc, Carilion Tazewell Community Hospital, Centra Medical Group Llc, Cmsc Llc, Jason L Hwang Md Inc, Tahoe Carson Radiology Loos Et Al Ltd, Radiology Medical Group Of Napa, Winchester Radiologists Pc, South Florida Medical Imaging Pa, Tennessee Valley Radiology Llc, Intercity Radiology Pc, Carilion Medical Center and his current practice location is
373 Mccombs Rd, Venetia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(855) 687-7237.
Kenneth Edgar is licensed to practice in Pennsylvania (license number MD065024L) 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 1649278904.
Physician's Profile
| Full Name | Kenneth Edgar |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 33 Years |
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| Location | 373 Mccombs Rd, Venetia, Pennsylvania |
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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:
- Kenneth Edgar attended and graduated from University Of Michigan Medical School in 1993
NPI Data:
- NPI Number: 1649278904
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 03/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 3577505023
- Enrollment ID: I20140327001816
Medical Identifiers
Medical identifiers for Kenneth Edgar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649278904 | NPI | - | NPPES |
| 300084169 | Other | PA | RAILROAD MEDICARE |
| 0016916930001 | Medicaid | PA | |
| 2612622 | Medicaid | OH | |
| 000268720 | Other | PA | BC BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | T3273 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD065024L (Pennsylvania) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101253287 (Virginia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shannon Clinic | 0840103727 | 537 |
| Eastern Radiological Associates Pc | 0345232732 | 52 |
| Shannon Clinic | 0840103727 | 537 |
| Mercy Diagnostic Imaging Pc | 1153233283 | 75 |
| Acadiana Radiology Group | 1355403114 | 51 |
| Corvallis Radiology Pc | 2062300676 | 53 |
| White Mountain Radiology | 2365429123 | 31 |
| X-ray Professional Association | 3375539927 | 62 |
| Carilion Giles Community Hospital | 3678670221 | 219 |
| Columbus Radiology Physicians Llc | 3971863416 | 59 |
| Carilion Tazewell Community Hospital | 4183604259 | 78 |
| Centra Medical Group Llc | 4789606088 | 713 |
| Cmsc Llc | 5890602494 | 81 |
| Jason L Hwang Md Inc | 6103171012 | 51 |
| Tahoe Carson Radiology Loos Et Al Ltd | 6406832591 | 34 |
| Radiology Medical Group Of Napa | 7113906397 | 41 |
| Winchester Radiologists Pc | 7113915281 | 79 |
| South Florida Medical Imaging Pa | 7618869900 | 44 |
| Tennessee Valley Radiology Llc | 9133105521 | 40 |
| Intercity Radiology Pc | 9830003847 | 42 |
| Carilion Medical Center | 9830096585 | 969 |
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 Edgar allows following entities to bill medicare on his behalf.
| Entity Name | Dhhs Ihs Phoenix Area |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356628028
PECOS PAC ID: 9436325420
Enrollment ID: O20120222000148 |
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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 Edgar 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 Edgar, MD
4040 E Camelback Rd Ste 250,
Phoenix, AZ 85018-8350
Ph: (855) 687-7237 | Kenneth Edgar, MD
373 Mccombs Rd,
Venetia, PA 15367-1342
Ph: (855) 687-7237 |
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