Jay Kincannon, MD in Little Rock, AR

Jay Kincannon, MD is a medicare enrolled "Dermatology - Pediatric Dermatology" physician in Little Rock, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice University Of Arkansas and his current practice location is 1 Childrens Way # 653, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 364-1100.

Jay Kincannon is licensed to practice in Arkansas (license number C-6844) 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 1184711236.

Contact Information

	Jay Kincannon, MD
	1 Childrens Way # 653, Little Rock, AR 72202-3500
	(501) 364-1100
	(501) 526-5148

Map and Direction

Physician's Profile

Full Name	Jay Kincannon
Gender	Male
Speciality	Dermatology
Experience	39 Years
Location	1 Childrens Way # 653, Little Rock, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jay Kincannon attended and graduated from University Of Arkansas College Of Medicine in 1985

NPI Data:

NPI Number: 1184711236
Provider Enumeration Date: 10/09/2006
Last Update Date: 03/17/2011

Medicare PECOS Information:

PECOS PAC ID: 5597946129
Enrollment ID: I20110302000069

Medical Identifiers

Medical identifiers for Jay Kincannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184711236	NPI	-	NPPES
119266001	Medicaid	AR
370005986	Other	AR	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	C-6844 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uams Medical Center	Little rock, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Arkansas	4082528955	1098

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. Jay Kincannon allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. Jay Kincannon 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
Jay Kincannon, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100	Jay Kincannon, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100

Reviews and Comments

Dermatology Doctors in Little Rock, AR

Dr. Michael Frederick Osleber, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205 Phone: 501-975-7455 Fax: 501-975-3631
Terri Lynn Martin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16115 Saint Vincent Way, Suite 300, Little Rock, AR 72223 Phone: 501-817-3923 Fax: 501-817-3930
Dr. Jacey Tanner Guthrie, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 Phone: 501-227-4323 Fax: 501-227-4149
Dr. Lindsay Anne Lipke, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 690, Little Rock, AR 72205 Phone: 501-227-8422 Fax: 501-537-2399
Dr. Brian Scott Wayne, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 S University Ave, Suite 301, Little Rock, AR 72205 Phone: 501-664-4161
Garrett James Nelson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205 Phone: 501-227-8422

Jay Kincannon, MD - Medicare Dermatology in Little Rock, AR