Kevin R Wentworth, MD in Detroit Lakes, MN - Medicare Emergency Medicine

Kevin R Wentworth, MD is a medicare enrolled "Family Medicine" physician in Detroit Lakes, Minnesota. He went to University Of Minnesota Medical School and graduated in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lakewood Health System and his current practice location is 1027 Washington Avenue, Detroit Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 847-5611.

Kevin R Wentworth is licensed to practice in Minnesota (license number 44499) 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 1639270069.

Contact Information

	Kevin R Wentworth, MD
	1027 Washington Avenue, Detroit Lakes, MN 56501-3409
	(218) 847-5611
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin R Wentworth
Gender	Male
Speciality	Emergency Medicine
Experience	29 Years
Location	1027 Washington Avenue, Detroit Lakes, Minnesota
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:

Kevin R Wentworth attended and graduated from University Of Minnesota Medical School in 1995

NPI Data:

NPI Number: 1639270069
Provider Enumeration Date: 09/26/2006
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5193629988
Enrollment ID: I20031124000098

Medical Identifiers

Medical identifiers for Kevin R Wentworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639270069	NPI	-	NPPES
274948	Medicaid	OR
HP42348	Other	MN	HEALTHPARTNERS
074M7WE	Other	MN	BCBS
1031036	Other	MN	PREFERREDONE
01-14159	Other	MN	MEDICA
41091744413	Medicaid	NE
82362200	Medicaid	WI
11772	Medicaid	ND
256961200	Medicaid	MN
169526	Other	MN	UCAREMN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	44499 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakewood Health System	Staples, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakewood Health System	1052229671	78

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. Kevin R Wentworth allows following entities to bill medicare on his behalf.

Entity Name	Lakewood Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411

Entity Name	Lakewood Health System
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1295726362 PECOS PAC ID: 1052229671 Enrollment ID: O20070618000309

Entity Name	Sanford Health Network North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429

Entity Name	Sanford Health Network North
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872

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. Kevin R Wentworth 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
Kevin R Wentworth, MD 415 Jefferson St North, Tri-county Health Care, Wadena, MN 56482-1296 Ph: (218) 631-3510	Kevin R Wentworth, MD 1027 Washington Avenue, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611

Reviews and Comments

Family Medicine Doctors in Detroit Lakes, MN

Dr. Gaurav Suresh Mehta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Avenue, Detroit Lakes, MN 56501 Phone: 218-847-5611
Benita Behm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300
Julie A Pazdernik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Robert A Koshnick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Tricia Rae Brein, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611
Abigail K Ring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Scott Allen Lawrence, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1361 Wenner Rd, Detroit Lakes, MN 56501 Phone: 218-396-6500 Fax: 218-396-6504

Kevin R Wentworth, MD - Medicare Emergency Medicine in Detroit Lakes, MN