Kenneth Dale Slack, MD - Medicare Obstetrics/gynecology in Cape Girardeau, MO

Kenneth Dale Slack, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Cape Girardeau, Missouri. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Saint Francis Medical Center and his current practice location is 211 Saint Francis Dr, Cape Girardeau, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 339-1166.

Kenneth Dale Slack is licensed to practice in Missouri (license number 2017031964) 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 1548375637.

Contact Information

Kenneth Dale Slack, MD
211 Saint Francis Dr,
Cape Girardeau, MO 63703-5049
(573) 339-1166
(573) 339-7166



Physician's Profile

Full NameKenneth Dale Slack
GenderMale
SpecialityObstetrics/gynecology
Experience29 Years
Location211 Saint Francis Dr, Cape Girardeau, Missouri
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 Dale Slack attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1995
  NPI Data:
  • NPI Number: 1548375637
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 02/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981687191
  • Enrollment ID: I20170914000338

Medical Identifiers

Medical identifiers for Kenneth Dale Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548375637NPI-NPPES
41035259MedicaidNM
86081039MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2017031964 (Missouri)Primary
174400000XSpecialist MD2003-0686 (New Mexico)Secondary
207V00000XObstetrics & Gynecology 44508 (Colorado)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterCape girardeau, MOHospital
SoutheasthealthCape girardeau, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Francis Medical Center9931007929375

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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 Dale Slack allows following entities to bill medicare on his behalf.
Entity NameSaint Francis Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356304489
PECOS PAC ID: 9931007929
Enrollment ID: O20040107000140

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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 Dale Slack 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 Dale Slack, MD
Po Box 801143,
Kansas City, MO 64180-1143

Ph: (573) 331-5583
Kenneth Dale Slack, MD
211 Saint Francis Dr,
Cape Girardeau, MO 63703-5049

Ph: (573) 339-1166

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Obstetrics & Gynecology Doctors in Cape Girardeau, MO

Jessica H Lemmons,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703
Phone: 573-339-1166    Fax: 573-339-7166
Dr. Tami O Williams, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3262 Lexington Ave, Cape Girardeau, MO 63701
Phone: 573-334-0515    Fax: 573-334-1120
Dr. Chris R Rosenquist, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701
Phone: 573-339-1101    Fax: 573-339-1737
Dr. Scot G Pringle, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701
Phone: 573-339-1101    Fax: 573-339-1737
Dianne S Woolard, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703
Phone: 573-339-1166    Fax: 573-339-7166
Naomi Wahl, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703
Phone: 573-331-5511    Fax: 573-331-5512
Jennifer Marie Lovegreen, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701
Phone: 573-339-1101    Fax: 573-339-1737

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