Dr Kenneth Albert Borenitsch, DO is a
General Practice physician based in Manistee, Michigan. Dr Kenneth Albert Borenitsch is licensed to practice in Michigan (license number 5101007441) and his current practice location is 1237 E Parkdale Ave, Suite 2, Manistee, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 723-8521.
NPI number for Dr Kenneth Albert Borenitsch is 1992852685 and his current mailing address is 1237 E Parkdale Ave, Suite 2, Manistee, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992852685.
Physician's Profile
| Full Name | Dr Kenneth Albert Borenitsch |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1237 E Parkdale Ave, Manistee, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992852685
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 02/27/2014
Medical Identifiers
Medical identifiers for Dr Kenneth Albert Borenitsch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992852685 | NPI | - | NPPES |
| 015512665 | Other | MI | BLUE CROSS BLUE SHIELD OF MI |
| 1405970 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 5101007441 (Michigan) | 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 Kenneth Albert Borenitsch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kenneth Albert Borenitsch, DO
1237 E Parkdale Ave, Suite 2,
Manistee, MI 49660-9353
Ph: (231) 723-8521 | Dr Kenneth Albert Borenitsch, DO
1237 E Parkdale Ave, Suite 2,
Manistee, MI 49660-9353
Ph: (231) 723-8521 |
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