Kenneth Dale Slack, MD in Cape Girardeau, MO - Medicare Obstetrics/gynecology

Kenneth Dale Slack, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Cape Girardeau, Missouri. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Saint Francis Medical Center and his current practice location is 211 Saint Francis Dr, Cape Girardeau, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 339-1166.

Kenneth Dale Slack is licensed to practice in Missouri (license number 2017031964) 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 1548375637.

Contact Information

	Kenneth Dale Slack, MD
	211 Saint Francis Dr, Cape Girardeau, MO 63703-5049
	(573) 339-1166
	(573) 339-7166

Map and Direction

Physician's Profile

Full Name	Kenneth Dale Slack
Gender	Male
Speciality	Obstetrics/gynecology
Experience	29 Years
Location	211 Saint Francis Dr, Cape Girardeau, Missouri
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:

Kenneth Dale Slack attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1995

NPI Data:

NPI Number: 1548375637
Provider Enumeration Date: 08/20/2006
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4981687191
Enrollment ID: I20170914000338

Medical Identifiers

Medical identifiers for Kenneth Dale Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548375637	NPI	-	NPPES
41035259	Medicaid	NM
86081039	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	2017031964 (Missouri)	Primary
174400000X	Specialist	MD2003-0686 (New Mexico)	Secondary
207V00000X	Obstetrics & Gynecology	44508 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Cape girardeau, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Francis Medical Center	9931007929	387

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. Kenneth Dale Slack allows following entities to bill medicare on his behalf.

Entity Name	Saint Francis Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140

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. Kenneth Dale Slack 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
Kenneth Dale Slack, MD Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583	Kenneth Dale Slack, MD 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 Ph: (573) 339-1166

Reviews and Comments

Obstetrics & Gynecology Doctors in Cape Girardeau, MO

Jessica H Lemmons, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-339-1166 Fax: 573-339-7166
Dr. Tami O Williams, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3262 Lexington Ave, Cape Girardeau, MO 63701 Phone: 573-334-0515 Fax: 573-334-1120
Dr. Chris R Rosenquist, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-339-1101 Fax: 573-339-1737
Dr. Scot G Pringle, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-339-1101 Fax: 573-339-1737
Dianne S Woolard, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-339-1166 Fax: 573-339-7166
Naomi Wahl, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5511 Fax: 573-331-5512
Jennifer Marie Lovegreen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-339-1101 Fax: 573-339-1737

Kenneth Dale Slack, MD - Medicare Obstetrics/gynecology in Cape Girardeau, MO