Dr Kenneth R Cervone, MD is a medicare enrolled "Orthopaedic Surgery" physician in St Clair Shore, Michigan. He went to Wayne State University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Associated Orthopedists Of Detroit Pc and his current practice location is
24715 Little Mack, Ste 100, St Clair Shore, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 779-7970.
Dr Kenneth R Cervone is licensed to practice in Michigan (license number 4301058405) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316937873.
Physician's Profile
| Full Name | Dr Kenneth R Cervone |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 33 Years |
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| Location | 24715 Little Mack, St Clair Shore, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth R Cervone attended and graduated from Wayne State University School Of Medicine in 1991
NPI Data:
- NPI Number: 1316937873
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 02/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 4880591643
- Enrollment ID: I20100115000834
Medical Identifiers
Medical identifiers for Dr Kenneth R Cervone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316937873 | NPI | - | NPPES |
| 3250375 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 4301058405 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Associated Orthopedists Of Detroit Pc | 3375440134 | 17 |
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 R Cervone allows following entities to bill medicare on his behalf.
| Entity Name | Associated Orthopedists Of Detroit Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083686083
PECOS PAC ID: 3375440134
Enrollment ID: O20031218000543 |
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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 R Cervone 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 R Cervone, MD
24715 Little Mack Ave, Suite 100,
Saint Clair Shores, MI 48080-3207
Ph: (586) 779-7970 | Dr Kenneth R Cervone, MD
24715 Little Mack, Ste 100,
St Clair Shore, MI 48080
Ph: (586) 779-7970 |
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