Dr Kenneth Qian Wu, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Shenandoah, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Procura Pain And Spine, Pllc and his current practice location is
111 Vision Park Blvd Ste 100, Shenandoah, Texas. You can reach out to his office (for appointments etc.) via phone at
(713) 714-1399.
Dr Kenneth Qian Wu is licensed to practice in Texas (license number P7051) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1952632143.
Physician's Profile
| Full Name | Dr Kenneth Qian Wu |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 15 Years |
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| Location | 111 Vision Park Blvd Ste 100, Shenandoah, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth Qian Wu attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2009
NPI Data:
- NPI Number: 1952632143
- Provider Enumeration Date: 01/27/2010
- Last Update Date: 07/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961620059
- Enrollment ID: I20140903000798
Medical Identifiers
Medical identifiers for Dr Kenneth Qian Wu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952632143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | P7051 (Texas) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | P7051 (Texas) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | P7051 (Texas) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | P7051 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | P7051 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Procura Pain And Spine, Pllc | 8729221197 | 3 |
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 Qian Wu allows following entities to bill medicare on his behalf.
| Entity Name | Conroe Ambulatory Anesthesia Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457482937
PECOS PAC ID: 0749464469
Enrollment ID: O20110405000119 |
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| Entity Name | Procura Pain And Spine, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245663848
PECOS PAC ID: 8729221197
Enrollment ID: O20130904000413 |
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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 Qian Wu 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 Kenneth Qian Wu, MD
111 Vision Park Blvd Ste 100,
Shenandoah, TX 77384-3003
Ph: (713) 714-1399 | Dr Kenneth Qian Wu, MD
111 Vision Park Blvd Ste 100,
Shenandoah, TX 77384-3003
Ph: (713) 714-1399 |
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