Kevin Kinkade, PA - Medicare Physician Assistant in Dallas, TX

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Kevin Kinkade, PA is a medicare enrolled "Physician Assistant" in Dallas, Texas. His current practice location is 7777 Forest Ln, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 566-5667.

Kevin Kinkade is licensed to practice in Texas (license number PA04025) 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 1679611636.

Contact Information

Kevin Kinkade, PA
7777 Forest Ln,
Dallas, TX 75230-2505
(972) 566-5667
(972) 566-4703

Map and Direction




Provider's Profile

Full NameKevin Kinkade
GenderMale
SpecialityPhysician Assistant
Location7777 Forest Ln, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679611636
  • Provider Enumeration Date: 02/02/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1052403045
  • Enrollment ID: I20150730012065

Medical Identifiers

Medical identifiers for Kevin Kinkade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679611636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA04025 (Texas)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. Kevin Kinkade allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Oklahoma Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755
Entity NameMercy Hospital Logan County, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306126818
PECOS PAC ID: 4587836200
Enrollment ID: O20111111000638
Entity NameMercy Hospital Watonga Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1497017529
PECOS PAC ID: 6305002759
Enrollment ID: O20130618000016
Entity NameMercy Hospital Kingfisher, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1083048417
PECOS PAC ID: 5395970180
Enrollment ID: O20131104000084
Entity NameMercy Hospital Tishomingo Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1932404431
PECOS PAC ID: 1557542032
Enrollment ID: O20210805002705

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. Kevin Kinkade 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
Kevin Kinkade, PA
Po Box 201606,
Dallas, TX 75320-1606

Ph: (972) 758-3598		Kevin Kinkade, PA
7777 Forest Ln,
Dallas, TX 75230-2505

Ph: (972) 566-5667

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.