Mr Kenneth Charles Agnew Jr, CRNP - Medicare Nurse Practitioner in Erie, PA

  1. Home
  2. Nurse Practitioner
  3. PA
  4. Erie
Mr Kenneth Charles Agnew Jr, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Erie, Pennsylvania. His current practice location is 5037 Crystal Dr, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 218-1850.

Mr Kenneth Charles Agnew Jr is licensed to practice in Pennsylvania (license number SP025288) 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 1013657295.

Contact Information

Mr Kenneth Charles Agnew Jr, CRNP
5037 Crystal Dr,
Erie, PA 16505-2913
(814) 218-1850
Not Available

Map and Direction




Provider's Profile

Full NameMr Kenneth Charles Agnew Jr
GenderMale
SpecialityNurse Practitioner - Primary Care
Location5037 Crystal Dr, Erie, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013657295
  • Provider Enumeration Date: 03/29/2022
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557721727
  • Enrollment ID: I20230719002541

Medical Identifiers

Medical identifiers for Mr Kenneth Charles Agnew Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013657295NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care SP025288 (Pennsylvania)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. Mr Kenneth Charles Agnew Jr allows following entities to bill medicare on his behalf.
Entity NameAhn Emergency Group Of Erie County Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336564798
PECOS PAC ID: 3072746585
Enrollment ID: O20140508000746
Entity NameAhn Emergency Group Of Canonsburg Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790100154
PECOS PAC ID: 2668695834
Enrollment ID: O20140516000943
Entity NameAhn Emergency Group Of Jefferson Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235518499
PECOS PAC ID: 0345552527
Enrollment ID: O20150630002216
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191216001523
Entity NameAhn Observation Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437814696
PECOS PAC ID: 1557753811
Enrollment ID: O20220118001466

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 Kenneth Charles Agnew 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 Kenneth Charles Agnew Jr, CRNP
5037 Crystal Dr,
Erie, PA 16505-2913

Ph: (814) 218-1850		Mr Kenneth Charles Agnew Jr, CRNP
5037 Crystal Dr,
Erie, PA 16505-2913

Ph: (814) 218-1850

Reviews and Comments


Nurse Practitioner Nurses in Erie, PA

Tatyana Kryachkov, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505
Phone: 814-790-4567    Fax: 814-295-4074
Devon Singh,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507
Phone: 814-456-8980    
Lynn Gates,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 State St, Erie, PA 16550
Phone: 814-877-4922    
Nicole Friedl,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 State St, Erie, PA 16550
Phone: 814-877-4922    
Linda Kathleen Mentz, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4500 Pine Ave, Erie, PA 16504
Phone: 814-877-5800    Fax: 814-877-5809
Ms. Lydia Jo Mcclure-maring, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 135 E 38th St, Erie, PA 16504
Phone: 814-868-8661    Fax: 814-860-2285

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.