Dr Marie E Kenny, DO is a medicare enrolled "Family Medicine" physician in Millington, Michigan. Her current practice location is
9030 State Rd, Millington, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 871-4501.
Dr Marie E Kenny is licensed to practice in Michigan (license number 5101027864) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578130076.
Physician's Profile
Full Name | Dr Marie E Kenny |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 9030 State Rd, Millington, Michigan |
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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: 1578130076
- Provider Enumeration Date: 06/04/2021
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335541663
- Enrollment ID: I20240831000078
Medical Identifiers
Medical identifiers for Dr Marie E Kenny such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578130076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5101027864 (Michigan) | 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 Marie E Kenny allows following entities to bill medicare on her behalf.
Entity Name | Genesys Pho Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275820110 PECOS PAC ID: 7618240409 Enrollment ID: O20180419001744 |
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Entity Name | Ascension Medical Group Genesys |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598248718 PECOS PAC ID: 7214288281 Enrollment ID: O20181002000367 |
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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 Marie E Kenny 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 Marie E Kenny, DO 3495 S Center Rd, Burton, MI 48519-1455 Ph: () - | Dr Marie E Kenny, DO 9030 State Rd, Millington, MI 48746-8902 Ph: (989) 871-4501 |
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