G Edward Kienzle, MD in Paoli, PA - Medicare Pediatrics

G Edward Kienzle, MD is a medicare enrolled "Pediatrics" physician in Paoli, Pennsylvania. His current practice location is 17 Industrial Blvd, Suite 204, Paoli, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 647-1484.

G Edward Kienzle is licensed to practice in Pennsylvania (license number MD007413E) 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 1174590244.

Contact Information

	G Edward Kienzle, MD
	17 Industrial Blvd, Suite 204, Paoli, PA 19301-1607
	(610) 647-1484
	(610) 647-7068

Physician's Profile

Full Name	G Edward Kienzle
Gender	Male
Speciality	Pediatrics
Location	17 Industrial Blvd, Paoli, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174590244
Provider Enumeration Date: 03/07/2006
Last Update Date: 11/20/2007

Medicare PECOS Information:

PECOS PAC ID: 8628376084
Enrollment ID: I20160419000157

Medical Identifiers

Medical identifiers for G Edward Kienzle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174590244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD007413E (Pennsylvania)	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. G Edward Kienzle 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
G Edward Kienzle, MD 17 Industrial Blvd, Suite 204, Paoli, PA 19301-1607 Ph: (610) 647-1484	G Edward Kienzle, MD 17 Industrial Blvd, Suite 204, Paoli, PA 19301-1607 Ph: (610) 647-1484

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Pediatrics Doctors in Paoli, PA

Rand E Kienzle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Industrial Blvd Ste 201, Paoli, PA 19301 Phone: 610-647-1484 Fax: 610-647-7068
Mary Anita Dilloway, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 255 W Lancaster Ave, Mob 1 Ste 101, Paoli, PA 19301 Phone: 610-644-9380 Fax: 610-644-4872
Dr. Anne Rosato, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 West Lancaster Ave, Suite 340, Paoli, PA 19301 Phone: 610-407-9000 Fax: 610-407-9005
Dr. Ira Strassman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 West Lancaster Ave, Suite 340, Paoli, PA 19301 Phone: 610-407-9000 Fax: 610-407-9005
Dr. Eileen Elizabeth Tyrala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 610-334-8341 Fax: 610-649-4735
Dr. Sandra Jean Becker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 315 Continental Ln, Paoli, PA 19301 Phone: 610-296-1238 Fax: 610-296-1238

G Edward Kienzle, MD - Medicare Pediatrics in Paoli, PA