Devon Reese Kienzle, DO is a medicare enrolled "Family Medicine" physician in Darrington, Washington. He went to Touro Un Col Of Osteopathic Medicine, Henderson and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Public Hospital Dist No 1 Skagit, South Sound Inpatient Physicians Pllc, Public Hospital Dist No 1 Skagit and his current practice location is
1190 Riddle St, Darrington, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 436-1055.
Devon Reese Kienzle is licensed to practice in Washington (license number OP61073204) 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 1003313222.
Physician's Profile
| Full Name | Devon Reese Kienzle |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 1190 Riddle St, Darrington, Washington |
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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:
- Devon Reese Kienzle attended and graduated from Touro Un Col Of Osteopathic Medicine, Henderson in 2018
NPI Data:
- NPI Number: 1003313222
- Provider Enumeration Date: 04/13/2018
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022362664
- Enrollment ID: I20210630002004
Medical Identifiers
Medical identifiers for Devon Reese Kienzle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003313222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OP61073204 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Public Hospital Dist No 1 Skagit | 6800793522 | 259 |
| South Sound Inpatient Physicians Pllc | 5991618738 | 302 |
| Public Hospital Dist No 1 Skagit | 6800793522 | 259 |
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. Devon Reese Kienzle allows following entities to bill medicare on his behalf.
| Entity Name | Bristol Bay Area Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235291246
PECOS PAC ID: 5890699920
Enrollment ID: O20031120000998 |
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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. Devon Reese Kienzle 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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Devon Reese Kienzle, DO
1400 E Kincaid St,
Mount Vernon, WA 98274-4127
Ph: () - | Devon Reese Kienzle, DO
1190 Riddle St,
Darrington, WA 98241-7722
Ph: (360) 436-1055 |
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