Kenneth T Kircher, DO is a medicare enrolled "Dermatology" physician in Lake Katrine, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Advanced Dermatology, Pllc and his current practice location is
2215 Rt 9w, Lake Katrine, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 336-8572.
Kenneth T Kircher is licensed to practice in New York (license number 2106171) 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 1417929217.
Physician's Profile
| Full Name | Kenneth T Kircher |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 27 Years |
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| Location | 2215 Rt 9w, Lake Katrine, New York |
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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 T Kircher attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1997
NPI Data:
- NPI Number: 1417929217
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921906611
- Enrollment ID: I20031219000230
Medical Identifiers
Medical identifiers for Kenneth T Kircher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417929217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2106171 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Dermatology, Pllc | 0648286427 | 8 |
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 T Kircher allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Dermatology, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992725279
PECOS PAC ID: 0648286427
Enrollment ID: O20060303000003 |
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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 T Kircher 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 |
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Kenneth T Kircher, DO
2215 Rt 9w, Po Box 774,
Lake Katrine, NY 12449-0774
Ph: (845) 336-8572 | Kenneth T Kircher, DO
2215 Rt 9w,
Lake Katrine, NY 12449-0774
Ph: (845) 336-8572 |
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