Ian James Kendrick, MD is a medicare enrolled "Surgery" physician in Evanston, Wyoming. He went to University Of Utah School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Evanston Clinic Corp and his current practice location is
190 Arrowhead Dr, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 783-8255.
Ian James Kendrick is licensed to practice in Wyoming (license number 10155A) 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 1902126824.
Physician's Profile
| Full Name | Ian James Kendrick |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 15 Years |
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| Location | 190 Arrowhead Dr, Evanston, Wyoming |
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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:
- Ian James Kendrick attended and graduated from University Of Utah School Of Medicine in 2010
NPI Data:
- NPI Number: 1902126824
- Provider Enumeration Date: 06/02/2010
- Last Update Date: 09/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 7810204849
- Enrollment ID: I20150923001414
Medical Identifiers
Medical identifiers for Ian James Kendrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902126824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | TL2981 (Wyoming) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208600000X | Surgery | 10155A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Evanston Clinic Corp | 8325038094 | 21 |
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. Ian James Kendrick allows following entities to bill medicare on his behalf.
| Entity Name | Evanston Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013916519
PECOS PAC ID: 8325038094
Enrollment ID: O20040514000481 |
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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. Ian James Kendrick 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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Ian James Kendrick, MD
196 Arrowhead Dr 6,
Evanston, WY 82930-8752
Ph: (307) 783-8398 | Ian James Kendrick, MD
190 Arrowhead Dr,
Evanston, WY 82930-9266
Ph: (307) 783-8255 |
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