Michelle Kenney, MD is a medicare enrolled "Pediatrics" physician in Kirksville, Missouri. Her current practice location is
402 W Jefferson St, Kirksville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 627-2229.
Michelle Kenney is licensed to practice in Missouri (license number 2018008509) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134501125.
Physician's Profile
| Full Name | Michelle Kenney |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 402 W Jefferson St, Kirksville, Missouri |
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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: 1134501125
- Provider Enumeration Date: 06/25/2015
- Last Update Date: 05/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 5092010264
- Enrollment ID: I20180614000297
Medical Identifiers
Medical identifiers for Michelle Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134501125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 2015017626 (Missouri) | Secondary |
| 208000000X | Pediatrics | 2018008509 (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. Michelle Kenney allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Missouri Health Council Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104829498 PECOS PAC ID: 1658280805 Enrollment ID: O20040112000061 |
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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. Michelle Kenney 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 |
Michelle Kenney, MD 1416 Crown Dr, Kirksville, MO 63501-2548 Ph: (660) 627-5757 | Michelle Kenney, MD 402 W Jefferson St, Kirksville, MO 63501-3407 Ph: (660) 627-2229 |
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