Dr Jeffrey K Mckenna, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Charleston, Illinois. He went to University Of Vermont College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology And Mohs Surgery Institute Ltd and his current practice location is
100 Deerpath, Charleston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 234-8000.
Dr Jeffrey K Mckenna is licensed to practice in Illinois (license number 036.118958) 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 1396713780.
Physician's Profile
| Full Name | Dr Jeffrey K Mckenna |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 25 Years |
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| Location | 100 Deerpath, Charleston, Illinois |
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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 Jeffrey K Mckenna attended and graduated from University Of Vermont College Of Medicine in 1999
NPI Data:
- NPI Number: 1396713780
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 08/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 4082605779
- Enrollment ID: I20070911000657
Medical Identifiers
Medical identifiers for Dr Jeffrey K Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396713780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 036-118958 (Illinois) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 036-118958 (Illinois) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 036.118958 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology And Mohs Surgery Institute Ltd | 3870732191 | 9 |
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 Jeffrey K Mckenna allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology And Mohs Surgery Institute Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770828626
PECOS PAC ID: 3870732191
Enrollment ID: O20130618000425 |
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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 Jeffrey K Mckenna 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 Jeffrey K Mckenna, MD
3024 E Empire St, Second Floor Ste E & F,
Bloomington, IL 61704-5402
Ph: (309) 451-3376 | Dr Jeffrey K Mckenna, MD
100 Deerpath,
Charleston, IL 61920-9427
Ph: (217) 234-8000 |
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