Matthew Kening, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chicago, Illinois. His current practice location is
600 S Paulina St Ste 403, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 942-5495.
Matthew Kening is licensed to practice in Pennsylvania (license number OT020138) 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 1194349845.
Physician's Profile
Full Name | Matthew Kening |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 600 S Paulina St Ste 403, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194349845
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436570215
- Enrollment ID: I20200603000861
Medical Identifiers
Medical identifiers for Matthew Kening such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194349845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036.174881 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036.174881 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 036.174881 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OT020138 (Pennsylvania) | Primary |
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. Matthew Kening 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 |
Matthew Kening, DO 600 S Paulina St Ste 403, Chicago, IL 60612-3806 Ph: () - | Matthew Kening, DO 600 S Paulina St Ste 403, Chicago, IL 60612-3806 Ph: (312) 942-5495 |
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