Dr Jeffrey K Mckenna, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Charleston, Illinois. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1396713780
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 08/05/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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