Dr Kenna J Stephenson, MD in Prescott, AZ

Dr Kenna J Stephenson, MD is a medicare enrolled "Family Medicine" physician in Prescott, Arizona. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 1989 and has 36 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Prescott Medical Investment Llc and her current practice location is 1090 Commerce Dr, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 583-1000.

Dr Kenna J Stephenson is licensed to practice in Arizona (license number 27158) 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 1962697755.

Contact Information

	Dr Kenna J Stephenson, MD
	1090 Commerce Dr, Prescott, AZ 86305-3700
	(928) 583-1000
	(866) 323-8458

Map and Direction

Physician's Profile

Full Name	Dr Kenna J Stephenson
Gender	Female
Speciality	Family Practice
Experience	36 Years
Location	1090 Commerce Dr, Prescott, Arizona
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 Kenna J Stephenson attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1989

NPI Data:

NPI Number: 1962697755
Provider Enumeration Date: 09/13/2007
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2860570033
Enrollment ID: I20211013001513

Medical Identifiers

Medical identifiers for Dr Kenna J Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962697755	NPI	-	NPPES
137268211	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	H8435 (Texas)	Secondary
207Q00000X	Family Medicine	27158 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prescott Medical Investment Llc	5092151696	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 Kenna J Stephenson allows following entities to bill medicare on her behalf.

Entity Name	Priority Family Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205309812 PECOS PAC ID: 1850632019 Enrollment ID: O20190416002369

Entity Name	Prescott Medical Investment Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184408874 PECOS PAC ID: 5092151696 Enrollment ID: O20240305004562

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 Kenna J Stephenson 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 Kenna J Stephenson, MD 2702 E 5th St, Tyler, TX 75701-5021 Ph: (928) 445-4860	Dr Kenna J Stephenson, MD 1090 Commerce Dr, Prescott, AZ 86305-3700 Ph: (928) 583-1000

Reviews and Comments

Family Medicine Doctors in Prescott, AZ

Michael James Lacaze, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Dr. Robert Jeffrey Zieve, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 343 S Montezuma St, Prescott, AZ 86303 Phone: 928-445-2900 Fax: 928-445-2053
Dr. Tiffany A Lunt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305 Phone: 928-777-0700 Fax: 928-778-5507
Dr. William F De Vito, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2078 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-776-6400 Fax: 855-633-3142
Dr. Kevin S Doyle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3107 Clearwater Dr, Prescott, AZ 86305 Phone: 928-445-2522 Fax: 928-445-1910
Dr. Irene Anna Royko, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1654 Coyote Rd, Prescott, AZ 86303 Phone: 928-778-4767 Fax: 928-778-4767
Jennifer Goddard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238

Dr Kenna J Stephenson, MD - Medicare Family Practice in Prescott, AZ