Kenneth Edward Yaw, PA-C is a medicare enrolled "Physician Assistant" in Summerset, South Dakota. His current practice location is
8064 Steamboat Ct, Summerset, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(209) 601-0780.
Kenneth Edward Yaw is licensed to practice in South Dakota (license number 1363) 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 1982166377.
Provider's Profile
| Full Name | Kenneth Edward Yaw |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 8064 Steamboat Ct, Summerset, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982166377
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 06/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789926213
- Enrollment ID: I20230124002148
Medical Identifiers
Medical identifiers for Kenneth Edward Yaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982166377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 7377 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 1363 (South Dakota) | 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. Kenneth Edward Yaw allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191218003251 |
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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. Kenneth Edward Yaw 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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Kenneth Edward Yaw, PA-C
8064 Steamboat Ct,
Summerset, SD 57769-6213
Ph: (209) 601-0780 | Kenneth Edward Yaw, PA-C
8064 Steamboat Ct,
Summerset, SD 57769-6213
Ph: (209) 601-0780 |
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