Dr Nicholas Ryan Kenning, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Saint Cloud, Minnesota. He went to Creighton University School Of Dentistry and graduated in 2014 and has 11 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Centrasota Oral And Maxillofacial Surgeons Pa and his current practice location is
3950 Veterans Dr Ste 100, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 252-3611.
Dr Nicholas Ryan Kenning is licensed to practice in Minnesota (license number 64354) 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 1497162358.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Ryan Kenning |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 11 Years |
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| Location | 3950 Veterans Dr Ste 100, Saint Cloud, Minnesota |
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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:
- Dr Nicholas Ryan Kenning attended and graduated from Creighton University School Of Dentistry in 2014
NPI Data:
- NPI Number: 1497162358
- Provider Enumeration Date: 07/11/2014
- Last Update Date: 06/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254550023
- Enrollment ID: I20140910001631
Medical Identifiers
Medical identifiers for Dr Nicholas Ryan Kenning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497162358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 64354 (Minnesota) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D13402 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | D13402 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 64354 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centrasota Oral And Maxillofacial Surgeons Pa | 7315969326 | 5 |
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. Dr Nicholas Ryan Kenning allows following entities to bill medicare on his behalf.
| Entity Name | Centrasota Oral & Maxillofacial Surgeons Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598710477
PECOS PAC ID: 7315969326
Enrollment ID: O20060110000046 |
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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. Dr Nicholas Ryan Kenning 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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Dr Nicholas Ryan Kenning, DDS, MD
3950 Veterans Dr Ste 100,
Saint Cloud, MN 56303-3424
Ph: (320) 252-3611 | Dr Nicholas Ryan Kenning, DDS, MD
3950 Veterans Dr Ste 100,
Saint Cloud, MN 56303-3424
Ph: (320) 252-3611 |
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