Jared Kenney, DDS - Medicare Dentist in Maricopa, AZ

Jared Kenney, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Maricopa, Arizona. His current practice location is 21300 N John Wayne Pkwy Ste 114, Maricopa, Arizona. You can reach out to his office (for appointments etc.) via phone at (916) 204-8762.

Jared Kenney is licensed to practice in Arizona (license number D009960) 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 1104238716.

Contact Information

Jared Kenney, DDS
21300 N John Wayne Pkwy Ste 114,
Maricopa, AZ 85139
(916) 204-8762
Not Available



Healthcare Provider's Profile

Full NameJared Kenney
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location21300 N John Wayne Pkwy Ste 114, Maricopa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104238716
  • Provider Enumeration Date: 05/30/2014
  • Last Update Date: 07/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729312491
  • Enrollment ID: I20200302002125

Medical Identifiers

Medical identifiers for Jared Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104238716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery D009960 (Arizona)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. Jared Kenney allows following entities to bill medicare on his behalf.
Entity NameOasis Oral And Facial Surgery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023593068
PECOS PAC ID: 7810221587
Enrollment ID: O20190628002889

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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. Jared Kenney 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
Jared Kenney, DDS
3232 E Redwood Ln,
Phoenix, AZ 85048-7834

Ph: (916) 204-8762
Jared Kenney, DDS
21300 N John Wayne Pkwy Ste 114,
Maricopa, AZ 85139

Ph: (916) 204-8762

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Dentist in Maricopa, AZ

Dr. Taryn Elizabeth Wollschlager, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44870 W Hathaway Ave, Maricopa, AZ 85139
Phone: 520-568-7004    
Austin Calaway, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 21300 N John Wayne Pkwy Ste 108, Maricopa, AZ 85139
Phone: 520-494-7578    
Meena A Kasisa, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 41620 W Maricopa Casa Grande Hwy Ste 110, Maricopa, AZ 85138
Phone: 520-568-2800    
Dr. Igor Borisov, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44480 W Honeycutt Rd Ste 110, Maricopa, AZ 85138
Phone: 520-568-9100    
Dr. James Francis Myers, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44480 W Honeycutt Ave Ste 109, Maricopa, AZ 85138
Phone: 520-568-7630    
Dr. Jared Michael Pope, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138
Phone: 520-568-9100    Fax: 520-568-9190

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