Kenneth M Egan, MD is a medicare enrolled "Pediatrics" physician in Clinton, Oklahoma. His current practice location is
Rr 1 Box 3060, Clinton, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 323-2884.
Kenneth M Egan is licensed to practice in Ohio (license number 35050525E) 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 1275698862.
Physician's Profile
Full Name | Kenneth M Egan |
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Gender | Male |
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Speciality | Pediatrics |
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Location | Rr 1 Box 3060, Clinton, Oklahoma |
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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: 1275698862
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638226426
- Enrollment ID: I20090414000319
Medical Identifiers
Medical identifiers for Kenneth M Egan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275698862 | NPI | - | NPPES |
9135050 | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35050525E (Ohio) | Primary |
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 M Egan allows following entities to bill medicare on his behalf.
Entity Name | Watonga Indian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001 |
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Entity Name | Clinton Indian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506 |
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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 M Egan 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 M Egan, MD 215 S 28th St, Apt # B-3, Clinton, OK 73601-3609 Ph: (580) 323-2884 | Kenneth M Egan, MD Rr 1 Box 3060, Clinton, OK 73601-9303 Ph: (580) 323-2884 |
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