Kenneth Edwards, DMD in Blue Springs, MO - Medicare Dentist Provider

Kenneth Edwards, DMD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Blue Springs, Missouri. His current practice location is 1205 Ne Coronado Dr, Blue Springs, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 228-4090.

Kenneth Edwards is licensed to practice in Missouri (license number 2016006251) 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 1114471943.

Contact Information

	Kenneth Edwards, DMD
	1205 Ne Coronado Dr, Blue Springs, MO 64014-2928
	(816) 228-4090
	Not Available

Healthcare Provider's Profile

Full Name	Kenneth Edwards
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	1205 Ne Coronado Dr, Blue Springs, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114471943
Provider Enumeration Date: 08/10/2016
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0042573511
Enrollment ID: I20180416000464

Medical Identifiers

Medical identifiers for Kenneth Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114471943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2016006251 (Missouri)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	2016006251 (Missouri)	Primary

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 Edwards 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 Edwards, DMD 2622 S 13th St, Frnt, Saint Louis, MO 63118-1804 Ph: (314) 309-4494	Kenneth Edwards, DMD 1205 Ne Coronado Dr, Blue Springs, MO 64014-2928 Ph: (816) 228-4090

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Dentist in Blue Springs, MO

Dr. D. Mark Monheiser, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Nw Jefferson Ct, Blue Springs, MO 64015 Phone: 816-229-3828 Fax: 816-229-8559
Manuela Avila, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1205 Ne Coronado Dr, Blue Springs, MO 64014 Phone: 816-228-4090
Dr. Tiffany Marie Teegarden, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1215 N 7 Hwy, Blue Springs, MO 64014 Phone: 816-427-1164
Jeremy Velasquez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1125 S 7 Hwy, Blue Springs, MO 64014 Phone: 816-622-1029
Dr. Mark Edwin Flack, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Nw Rr Mize Rd, Suite 100, Blue Springs, MO 64014 Phone: 816-229-3737 Fax: 816-229-1656
Dr. Ciarra Stapleton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1125 S 7 Hwy, Blue Springs, MO 64014 Phone: 816-622-1029

Kenneth Edwards, DMD - Medicare Dentist in Blue Springs, MO