Kennett D Asher Jr, D O is a medicare enrolled "Family Medicine" physician in Bloomfield, Missouri. His current practice location is
612 Hwy 25 South, Bloomfield, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 568-7377.
Kennett D Asher Jr is licensed to practice in Missouri (license number R6947) 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 1073507315.
Physician's Profile
| Full Name | Kennett D Asher Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 612 Hwy 25 South, Bloomfield, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073507315
- Provider Enumeration Date: 09/01/2005
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345317996
- Enrollment ID: I20100128000596
Medical Identifiers
Medical identifiers for Kennett D Asher Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073507315 | NPI | - | NPPES |
| 240303008 | Medicaid | MO | |
| 080030087 | Other | MO | RR MEDICARE |
| 178227 | Other | MO | HEALTHLINK |
| 697138 | Other | MO | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R6947 (Missouri) | 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. Kennett D Asher Jr allows following entities to bill medicare on his behalf.
| Entity Name | Broadway Family Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427566694
PECOS PAC ID: 3274898952
Enrollment ID: O20180530001018 |
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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. Kennett D Asher Jr 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 |
|---|
Kennett D Asher Jr, D O
612 Hwy 25 South,
Bloomfield, MO 63825-9566
Ph: (573) 568-7377 | Kennett D Asher Jr, D O
612 Hwy 25 South,
Bloomfield, MO 63825-9566
Ph: (573) 568-7377 |
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