Kenneth Porter, MD is a medicare enrolled "Pediatrics" physician in Lemont, Illinois. He went to University Of Maryland School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lemont Primary Care, Sc and his current practice location is
15505 127th St, Lemont, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 257-2265.
Kenneth Porter is licensed to practice in Illinois (license number 036-074508) 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 1174639645.
Physician's Profile
Full Name | Kenneth Porter |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 39 Years |
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Location | 15505 127th St, Lemont, Illinois |
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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 Porter attended and graduated from University Of Maryland School Of Medicine in 1985
NPI Data:
- NPI Number: 1174639645
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 01/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 5496943169
- Enrollment ID: I20110104000033
Medical Identifiers
Medical identifiers for Kenneth Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174639645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036-074508 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lemont Primary Care, Sc | 1153519822 | 2 |
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 Porter allows following entities to bill medicare on his behalf.
Entity Name | Lemont Primary Care, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558477034 PECOS PAC ID: 1153519822 Enrollment ID: O20101222000035 |
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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 Porter 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 Porter, MD 15505 127th St, Lemont, IL 60439-4433 Ph: (630) 257-2265 | Kenneth Porter, MD 15505 127th St, Lemont, IL 60439-4433 Ph: (630) 257-2265 |
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