Kumpol Dennison, MD in Valparaiso, IN - Medicare General Surgery

Kumpol Dennison, MD is a medicare enrolled "General Practice" physician in Valparaiso, Indiana. He graduated from medical school in 1963 and has 61 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Cleanslate Medical Group Of Indiana Llc and his current practice location is 44 Kilmartin Ct, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 688-3950.

Kumpol Dennison is licensed to practice in Indiana (license number 01071776A) 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 1275887770.

Contact Information

	Kumpol Dennison, MD
	44 Kilmartin Ct, Valparaiso, IN 46385-9304
	(219) 688-3950
	Not Available

Map and Direction

Physician's Profile

Full Name	Kumpol Dennison
Gender	Male
Speciality	General Surgery
Experience	61 Years
Location	44 Kilmartin Ct, Valparaiso, Indiana
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:

Kumpol Dennison graduated from medical school in 1963

NPI Data:

NPI Number: 1275887770
Provider Enumeration Date: 11/05/2012
Last Update Date: 06/07/2016

Medicare PECOS Information:

PECOS PAC ID: 2860706819
Enrollment ID: I20150804004760

Medical Identifiers

Medical identifiers for Kumpol Dennison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275887770	NPI	-	NPPES
100142380	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	01071776A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleanslate Medical Group Of Indiana Llc	4880963909	63

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. Kumpol Dennison allows following entities to bill medicare on his behalf.

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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. Kumpol Dennison 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
Kumpol Dennison, MD 44 Kilmartin Ct, Valparaiso, IN 46385-9304 Ph: (219) 688-3950	Kumpol Dennison, MD 44 Kilmartin Ct, Valparaiso, IN 46385-9304 Ph: (219) 688-3950

Kumpol Dennison, MD - Medicare General Surgery in Valparaiso, IN