Mr Emmet Michael Kenney Jr, MD - Medicare Psychiatry in Fargo, ND

Mr Emmet Michael Kenney Jr, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fargo, North Dakota. He went to Creighton University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice St. Sophie's Llc and his current practice location is 3201 33rd St S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 365-4488.

Mr Emmet Michael Kenney Jr is licensed to practice in North Dakota (license number ND7174) 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 1902998081.

Contact Information

Mr Emmet Michael Kenney Jr, MD
3201 33rd St S,
Fargo, ND 58104-8823
(701) 365-4488
(701) 365-0727

Map and Direction




Physician's Profile

Full NameMr Emmet Michael Kenney Jr
GenderMale
SpecialityPsychiatry
Experience38 Years
Location3201 33rd St S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Emmet Michael Kenney Jr attended and graduated from Creighton University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1902998081
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 04/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9436140670
  • Enrollment ID: I20040518001264

Medical Identifiers

Medical identifiers for Mr Emmet Michael Kenney Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902998081NPI-NPPES
597823800MedicaidMN
22028OtherNDBCBS
18353MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry ND7174 (North Dakota)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MN32170 (Minnesota)Secondary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry ND7174 (North Dakota)Secondary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry MN32170 (Minnesota)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry ND7174 (North Dakota)Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MN32170 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Sophie's Llc71131950749

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. Mr Emmet Michael Kenney Jr allows following entities to bill medicare on his behalf.
Entity NameSt. Sophie's Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336443654
PECOS PAC ID: 7113195074
Enrollment ID: O20110719000878

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. Mr Emmet Michael Kenney 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 AddressPractice Location Address
Mr Emmet Michael Kenney Jr, MD
3201 33rd St S,
Fargo, ND 58104-8823

Ph: (701) 365-4488
Mr Emmet Michael Kenney Jr, MD
3201 33rd St S,
Fargo, ND 58104-8823

Ph: (701) 365-4488

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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