Kenneth James Minielly, MD in Springfield, IL

Kenneth James Minielly, MD is a medicare enrolled "Dermatology" physician in Springfield, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Kentucky Skin Cancer Center Pllc and his current practice location is 751 N Rutledge St Ste 2300, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Kenneth James Minielly is licensed to practice in Illinois (license number 125-068691) 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 1699125062.

Contact Information

	Kenneth James Minielly, MD
	751 N Rutledge St Ste 2300, Springfield, IL 62702-4968
	(217) 545-8000
	(217) 545-7438

Map and Direction

Physician's Profile

Full Name	Kenneth James Minielly
Gender	Male
Speciality	Dermatology
Experience	5 Years
Location	751 N Rutledge St Ste 2300, Springfield, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth James Minielly attended and graduated from Southern Illinois University School Of Medicine in 2020

NPI Data:

NPI Number: 1699125062
Provider Enumeration Date: 06/16/2016
Last Update Date: 06/16/2016

Medicare PECOS Information:

PECOS PAC ID: 8123310844
Enrollment ID: I20200813003676

Medical Identifiers

Medical identifiers for Kenneth James Minielly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699125062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	125-068691 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Medical Center (bowling Green)	Bowling green, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kentucky Skin Cancer Center Pllc	2668729336	10

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 James Minielly allows following entities to bill medicare on his behalf.

Entity Name	Kentucky Skin Cancer Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902302987 PECOS PAC ID: 2668729336 Enrollment ID: O20180726001092

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 James Minielly 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 James Minielly, MD Po Box 19644, Springfield, IL 62794-9644 Ph: (217) 545-8000	Kenneth James Minielly, MD 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 Ph: (217) 545-8000

Reviews and Comments

Dermatology Doctors in Springfield, IL

Mrs. Lucinda S Buescher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3821 Fax: 217-545-4485
Kortni Michell Kemper, MD Dermatology Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438
Elizabeth A Small, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Dr. Adarsh A Kumar, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2040 Timberbrooke Drive, Springfield, IL 62702 Phone: 217-787-2511 Fax: 217-787-2513
Rebecca J Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4485
Dr. Brittany Sweet, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-528-7541
Elle Murray Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541

Kenneth James Minielly, MD - Medicare Dermatology in Springfield, IL