Thomas Lewis Kincheloe Iv, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Kennewick, Washington. He went to Pacific Nw Un Of Hs, Col Of Osteopathic Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. He is a member of the group practice Community Health Of Central Washington and his current practice location is
8905 W Gage Blvd Ste 100, Kennewick, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 579-4300.
Thomas Lewis Kincheloe Iv is licensed to practice in Washington (license number OP61377812) 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 1962908004.
Physician's Profile
| Full Name | Thomas Lewis Kincheloe Iv |
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| Gender | Male |
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| Speciality | Osteopathic Manipulative Medicine |
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| Experience | 8 Years |
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| Location | 8905 W Gage Blvd Ste 100, Kennewick, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas Lewis Kincheloe Iv attended and graduated from Pacific Nw Un Of Hs, Col Of Osteopathic Medicine in 2018
NPI Data:
- NPI Number: 1962908004
- Provider Enumeration Date: 04/05/2018
- Last Update Date: 04/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 5294134912
- Enrollment ID: I20231211001983
Medical Identifiers
Medical identifiers for Thomas Lewis Kincheloe Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962908004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OP61377812 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | DO202194 (Oregon) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | OP61377812 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Health Of Central Washington | 4183536931 | 81 |
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. Thomas Lewis Kincheloe Iv allows following entities to bill medicare on his behalf.
| Entity Name | Restore Health & Pain Treatment Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124709290
PECOS PAC ID: 8628425808
Enrollment ID: O20231109000840 |
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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. Thomas Lewis Kincheloe Iv 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 |
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Thomas Lewis Kincheloe Iv, DO
8905 W Gage Blvd Ste 100,
Kennewick, WA 99336-7191
Ph: (509) 579-4300 | Thomas Lewis Kincheloe Iv, DO
8905 W Gage Blvd Ste 100,
Kennewick, WA 99336-7191
Ph: (509) 579-4300 |
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