Kenneth Carpenter, MD - Medicare Emergency Medicine in Bloomington, IL

Kenneth Carpenter, MD is a medicare enrolled "Emergency Medicine" physician in Bloomington, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Epss Llc - Central Series and his current practice location is 2200 E Washington St, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 662-3311.

Kenneth Carpenter is licensed to practice in Illinois (license number ) 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 1689723918.

Contact Information

Kenneth Carpenter, MD
2200 E Washington St,
Bloomington, IL 61701-4364
(309) 662-3311
Not Available



Physician's Profile

Full NameKenneth Carpenter
GenderMale
SpecialityEmergency Medicine
Experience21 Years
Location2200 E Washington St, Bloomington, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Carpenter attended and graduated from Southern Illinois University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1689723918
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 09/04/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739180043
  • Enrollment ID: I20070129000406

Medical Identifiers

Medical identifiers for Kenneth Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689723918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pekin Memorial HospitalPekin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Epss Llc - Central Series620419201628

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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. Kenneth Carpenter allows following entities to bill medicare on his behalf.
Entity NamePekin Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245355411
PECOS PAC ID: 4789676438
Enrollment ID: O20040401000798

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Entity NameMason Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902849649
PECOS PAC ID: 2466360607
Enrollment ID: O20040412000399

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Entity NameOsf Healthcare System
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1871919381
PECOS PAC ID: 4284541806
Enrollment ID: O20140425000229

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Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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Entity NameEpss Llc - Central Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538680467
PECOS PAC ID: 6204192016
Enrollment ID: O20171110002604

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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. Kenneth Carpenter 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
Kenneth Carpenter, MD
Po Box 758682,
Baltimore, MD 21275-0001

Ph: () -
Kenneth Carpenter, MD
2200 E Washington St,
Bloomington, IL 61701-4364

Ph: (309) 662-3311

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Emergency Medicine Doctors in Bloomington, IL

Dr. Richard Sabbun, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2200 E Washington St, Bloomington, IL 61701
Phone: 309-665-5925    
Matthew Oldenburg,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14880 Old Colonial Rd, Bloomington, IL 61705
Phone: 309-828-4641    
Sam Pittmon, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2200 E Washington St, Bloomington, IL 61701
Phone: 309-662-3311    
Dr. David Gill, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 24 Conway Cir, Bloomington, IL 61704
Phone: 217-621-8720    
Thomas P Fiero, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2200 E Washington St, Bloomington, IL 61701
Phone: 309-662-3311    
Rick Anderson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 702 W Chestnut St, Bloomington, IL 61701
Phone: 309-557-1400    
Scott Joseph Januzik, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2200 E Washington St, Bloomington, IL 61701
Phone: 309-662-3311    

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