Dr Amy T Kenworthy, MD in Waupaca, WI - Medicare Emergency Medicine

Dr Amy T Kenworthy, MD is a medicare enrolled "Emergency Medicine" physician in Waupaca, Wisconsin. She went to University Of Missouri, Columbia School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Trinity Medical Center, Trinity Medical Center, Trinity Regional Medical Center and her current practice location is 800 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 258-1000.

Dr Amy T Kenworthy is licensed to practice in Wisconsin (license number 285-320) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346335254.

Contact Information

	Dr Amy T Kenworthy, MD
	800 Riverside Dr, Waupaca, WI 54981-1943
	(715) 258-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Amy T Kenworthy
Gender	Female
Speciality	Emergency Medicine
Experience	43 Years
Location	800 Riverside Dr, Waupaca, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Amy T Kenworthy attended and graduated from University Of Missouri, Columbia School Of Medicine in 1981

NPI Data:

NPI Number: 1346335254
Provider Enumeration Date: 10/04/2006
Last Update Date: 12/04/2020

Medicare PECOS Information:

PECOS PAC ID: 7012997109
Enrollment ID: I20171019001611

Medical Identifiers

Medical identifiers for Dr Amy T Kenworthy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346335254	NPI	-	NPPES
119346500	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	6969A (Wyoming)	Secondary
207R00000X	Internal Medicine	MD22847 (Maine)	Secondary
207R00000X	Internal Medicine	35.053893 (Ohio)	Secondary
207R00000X	Internal Medicine	36143235 (Illinois)	Secondary
207P00000X	Emergency Medicine	285-320 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trinity - Bettendorf	Bettendorf, IA	Hospital
Trinity Regional Medical Center	Fort dodge, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Medical Center	2264337518	87
Trinity Medical Center	2264337518	87
Trinity Regional Medical Center	7315858529	123

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 Amy T Kenworthy allows following entities to bill medicare on her behalf.

Entity Name	Trinity Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568414134 PECOS PAC ID: 2264337518 Enrollment ID: O20031203000016

Entity Name	Mcdonough County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669420766 PECOS PAC ID: 0446140180 Enrollment ID: O20040611000228

Entity Name	Glutality Provider Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200914000241

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 Amy T Kenworthy 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
Dr Amy T Kenworthy, MD 83 Deer Valley Dr, Lander, WY 82520-9780 Ph: (307) 335-8248	Dr Amy T Kenworthy, MD 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (715) 258-1000

Reviews and Comments

Emergency Medicine Doctors in Waupaca, WI

Dr. Logan Robert Gorges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042
Francesca L Detrana, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1632
Dr. Spencer Wolf Greaves, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000
Dr. Matthew Paul Nelson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000
Dr. Dennis D Ford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000
Dr. Charles Conger, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1041

Dr Amy T Kenworthy, MD - Medicare Emergency Medicine in Waupaca, WI