Dr William Kenneth Slattery, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. His current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(917) 510-4852.
Dr William Kenneth Slattery is licensed to practice in * (Not Available) (license number ) 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 1255191102.
Physician's Profile
Full Name | Dr William Kenneth Slattery |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2799 W Grand Blvd, Detroit, 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: 1255191102
- Provider Enumeration Date: 03/19/2024
- Last Update Date: 04/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395185177
- Enrollment ID: I20240426000962
Medical Identifiers
Medical identifiers for Dr William Kenneth Slattery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255191102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5151016574 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 William Kenneth Slattery 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 William Kenneth Slattery, DO 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (917) 510-4852 | Dr William Kenneth Slattery, DO 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (917) 510-4852 |
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