Kendall P Deselms, DO, DC is a medicare enrolled "Family Medicine" provider in Cameron, Missouri. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cameron Regional Medical Center Inc and his current practice location is
221 E 7th St, Cameron, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 632-8407.
Kendall P Deselms is licensed to practice in Missouri (license number 107636) 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 1164406278.
Healthcare Provider's Profile
| Full Name | Kendall P Deselms |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 29 Years |
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| Location | 221 E 7th St, Cameron, Missouri |
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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:
- Kendall P Deselms attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1995
NPI Data:
- NPI Number: 1164406278
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 12/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 0648239202
- Enrollment ID: I20041008000185
Medical Identifiers
Medical identifiers for Kendall P Deselms such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164406278 | NPI | - | NPPES |
| 785D378 | Other | MO | MEDICARE PART B |
| P00191306 | Other | MO | MEDICARE RAILROAD |
| 249751009 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 005457 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 107636 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cameron Regional Medical Center Inc | 5092622001 | 60 |
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. Kendall P Deselms allows following entities to bill medicare on his behalf.
| Provider Name | Cameron Regional Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811905375
PECOS PAC ID: 5092622001
Enrollment ID: O20040113000619 |
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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. Kendall P Deselms 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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Kendall P Deselms, DO, DC
1600 E Evergreen St, Po Box 557,
Cameron, MO 64429-2400
Ph: (816) 632-2101 | Kendall P Deselms, DO, DC
221 E 7th St,
Cameron, MO 64429-1722
Ph: (816) 632-8407 |
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