Kenneth Gwinn, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Shelby Township, Michigan. He went to Illinois Medical College and graduated in 1985 and has 39 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Kenneth L Gwinn Md Pc and his current practice location is
48681 Hayes Rd, Shelby Township, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 799-1212.
Kenneth Gwinn is licensed to practice in Michigan (license number KG050974) 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 1003910118.
Physician's Profile
Full Name | Kenneth Gwinn |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 39 Years |
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Location | 48681 Hayes Rd, Shelby Township, Michigan |
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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. |
Medical Education and Training:
- Kenneth Gwinn attended and graduated from Illinois Medical College in 1985
NPI Data:
- NPI Number: 1003910118
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 12/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 3577513944
- Enrollment ID: I20050126000238
Medical Identifiers
Medical identifiers for Kenneth Gwinn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003910118 | NPI | - | NPPES |
C7134 | Other | MI | MCARE HMO |
131442 | Other | MI | PREFERRED CHOICES |
258611 | Other | MI | OMNICARE |
000000009639 | Other | MI | CAPE HEALTH |
0405011981 | Other | MI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | KG050974 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kenneth L Gwinn Md Pc | 8325098791 | 6 |
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 Gwinn allows following entities to bill medicare on his behalf.
Entity Name | Kenneth L Gwinn Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629163217 PECOS PAC ID: 8325098791 Enrollment ID: O20050125000196 |
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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. Kenneth Gwinn 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 Gwinn, MD 48681 Hayes Rd, Shelby Township, MI 48315-4403 Ph: (586) 799-1212 | Kenneth Gwinn, MD 48681 Hayes Rd, Shelby Township, MI 48315-4403 Ph: (586) 799-1212 |
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