Randall A Kenninger, MD in Fargo, ND - Medicare Family Practice

Randall A Kenninger, MD is a medicare enrolled "Family Medicine" physician in Fargo, North Dakota. He went to University Of North Dakota School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 2400 32nd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-8830.

Randall A Kenninger is licensed to practice in North Dakota (license number 7353) 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 1013934785.

Contact Information

	Randall A Kenninger, MD
	2400 32nd Ave S, Fargo, ND 58103-5800
	(701) 234-8830
	(702) 234-8950

Map and Direction

Physician's Profile

Full Name	Randall A Kenninger
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	2400 32nd Ave S, Fargo, North Dakota
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:

Randall A Kenninger attended and graduated from University Of North Dakota School Of Medicine in 1994

NPI Data:

NPI Number: 1013934785
Provider Enumeration Date: 07/17/2006
Last Update Date: 11/21/2011

Medicare PECOS Information:

PECOS PAC ID: 2961695218
Enrollment ID: I20101020000050

Medical Identifiers

Medical identifiers for Randall A Kenninger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013934785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	7353 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Home Care Fargo	Fargo, ND	Home health agency
Hospice Of Red River Valley	Fargo, ND	Hospice
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085

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. Randall A Kenninger allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Randall A Kenninger 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
Randall A Kenninger, MD 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8830	Randall A Kenninger, MD 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-8830

Reviews and Comments

Family Medicine Doctors in Fargo, ND

Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000
Hadeer Saleh Eltahan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58102 Phone: 701-234-6076 Fax: 701-234-7230
Megan Harrington, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000

Randall A Kenninger, MD - Medicare Family Practice in Fargo, ND