Dr Kenneth Michael Patrick, MD is a medicare enrolled "Emergency Medicine" physician in Ft Collins, Colorado. His current practice location is
1024 Lemay Ave, Ft Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at
(800) 553-4924.
Dr Kenneth Michael Patrick is licensed to practice in Colorado (license number 44174) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639119845.
Physician's Profile
Full Name | Dr Kenneth Michael Patrick |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1024 Lemay Ave, Ft Collins, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639119845
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 02/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 3476579178
- Enrollment ID: I20060920000060
Medical Identifiers
Medical identifiers for Dr Kenneth Michael Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639119845 | NPI | - | NPPES |
P00394962 | Other | CO | RAILROAD MEDICARE |
123463300 | Medicaid | WY | |
64435865 | Medicaid | CO | |
S5008 | Other | CO | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 44174 (Colorado) | Primary |
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 Kenneth Michael Patrick allows following entities to bill medicare on his behalf.
Entity Name | Emergency Physicians Of The Rockies, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
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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 Kenneth Michael Patrick 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 Kenneth Michael Patrick, MD Dept 2215, Denver, CO 80291-0001 Ph: (800) 553-4924 | Dr Kenneth Michael Patrick, MD 1024 Lemay Ave, Ft Collins, CO 80524-3913 Ph: (800) 553-4924 |
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