Dr Kenneth Fred Wenberg, MD is a
Family Medicine physician based in Heppner, Oregon. Dr Kenneth Fred Wenberg is licensed to practice in Oregon (license number MD14131) and his current practice location is 274 N Main Street, Heppner, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 676-5440.
NPI number for Dr Kenneth Fred Wenberg is 1598792020 and his current mailing address is Po Box 9, Heppner, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598792020.
Physician's Profile
| Full Name | Dr Kenneth Fred Wenberg |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 274 N Main Street, Heppner, Oregon |
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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: 1598792020
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 10/07/2015
Medical Identifiers
Medical identifiers for Dr Kenneth Fred Wenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598792020 | NPI | - | NPPES |
| 130039 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD14131 (Oregon) | 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 Fred Wenberg 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 Fred Wenberg, MD
Po Box 9,
Heppner, OR 97836-0009
Ph: (541) 676-2942 | Dr Kenneth Fred Wenberg, MD
274 N Main Street,
Heppner, OR 97836
Ph: (541) 676-5440 |
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