Kenneth N Kephart, MD - Medicare Family Medicine in Minneapolis, MN

Kenneth N Kephart, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Minneapolis, Minnesota. His current practice location is 2615 East Franklin Avenue, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 333-0770.

Kenneth N Kephart is licensed to practice in Minnesota (license number 26265) 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 1619066545.

Contact Information

Kenneth N Kephart, MD
2615 East Franklin Avenue,
Minneapolis, MN 55406
(612) 333-0770
Not Available

Map and Direction




Physician's Profile

Full NameKenneth N Kephart
GenderMale
SpecialityFamily Medicine - Geriatric Medicine
Location2615 East Franklin Avenue, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619066545
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5496797755
  • Enrollment ID: I20050526000176

Medical Identifiers

Medical identifiers for Kenneth N Kephart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619066545NPI-NPPES
032003OtherMNFAIRVEW
01-04725OtherMNMEDICA-PRIMARY
01-04725OtherMNMEDICA-CHOICE
32G78KEOtherMNBCBS
100544OtherMNU CARE
934694OtherARAZID
HP16524OtherMNHEALTH PARTNERS
0628004OtherMNPREFERRED ONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 26265 (Minnesota)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 N Kephart allows following entities to bill medicare on his behalf.
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

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 N Kephart 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 AddressPractice Location Address
Kenneth N Kephart, MD
420 Delaware St Se, University Of Minnesota Physicians,
Minneapolis, MN 55455

Ph: (612) 333-0770
Kenneth N Kephart, MD
2615 East Franklin Avenue,
Minneapolis, MN 55406

Ph: (612) 333-0770

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.