Dr Katherine Kenningham, MD - Medicare Pediatrics in Tacoma, WA

Dr Katherine Kenningham, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Tacoma, Washington. Her current practice location is 315 Martin Luther King Jr Way, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 403-1000.

Dr Katherine Kenningham is licensed to practice in Washington (license number MD60564662) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043586969.

Contact Information

Dr Katherine Kenningham, MD
315 Martin Luther King Jr Way,
Tacoma, WA 98405-4234
(253) 403-1000
Not Available



Physician's Profile

Full NameDr Katherine Kenningham
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location315 Martin Luther King Jr Way, Tacoma, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043586969
  • Provider Enumeration Date: 03/26/2012
  • Last Update Date: 10/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385957737
  • Enrollment ID: I20150714003265

Medical Identifiers

Medical identifiers for Dr Katherine Kenningham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043586969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD 60564662 (Washington)Secondary
208000000XPediatrics 60292818 (Washington)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MD60564662 (Washington)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. Dr Katherine Kenningham allows following entities to bill medicare on her behalf.
Entity NameSeattle Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003319500
PECOS PAC ID: 9032021050
Enrollment ID: O20031211000532

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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. Dr Katherine Kenningham 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
Dr Katherine Kenningham, MD
4909 42nd Ave Nw,
Gig Harbor, WA 98335-8160

Ph: (206) 854-7350
Dr Katherine Kenningham, MD
315 Martin Luther King Jr Way,
Tacoma, WA 98405-4234

Ph: (253) 403-1000

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Pediatrics Doctors in Tacoma, WA

David Lee Robinson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2252    
Nan Shin, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405
Phone: 253-593-2144    Fax: 253-280-9881
Arthur L Walter, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Pediatric Extended Care Clinic, Madigan Army Medical Center, Tacoma, WA 98431
Phone: 253-968-3066    
Bradley Stanton Hood, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 311 S L St, Tacoma, WA 98405
Phone: 253-403-1540    
Kirk N. Liesemer, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-3066    
Christopher Anthony Bellotti, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 603 S J St Ste 102, Tacoma, WA 98405
Phone: 253-396-4868    Fax: 253-396-4870
Dr. Michael Timothy Alston, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-596-3300    

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