Mr Emmet Michael Kenney Jr, MD - Medicare Psychiatry in Fargo, ND

Mr Emmet Michael Kenney Jr, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fargo, North Dakota. He went to Creighton University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice St. Sophie's Llc and his current practice location is 3201 33rd St S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 365-4488.

Mr Emmet Michael Kenney Jr is licensed to practice in North Dakota (license number ND7174) 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 1902998081.

Contact Information

Mr Emmet Michael Kenney Jr, MD
3201 33rd St S,
Fargo, ND 58104-8823
(701) 365-4488
(701) 365-0727



Physician's Profile

Full NameMr Emmet Michael Kenney Jr
GenderMale
SpecialityPsychiatry
Experience38 Years
Location3201 33rd St S, Fargo, North Dakota
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:
  • Mr Emmet Michael Kenney Jr attended and graduated from Creighton University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1902998081
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 04/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9436140670
  • Enrollment ID: I20040518001264

Medical Identifiers

Medical identifiers for Mr Emmet Michael Kenney Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902998081NPI-NPPES
597823800MedicaidMN
22028OtherNDBCBS
18353MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry ND7174 (North Dakota)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MN32170 (Minnesota)Secondary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry ND7174 (North Dakota)Secondary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry MN32170 (Minnesota)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry ND7174 (North Dakota)Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MN32170 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Sophie's Llc71131950749

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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. Mr Emmet Michael Kenney Jr allows following entities to bill medicare on his behalf.
Entity NameSt. Sophie's Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336443654
PECOS PAC ID: 7113195074
Enrollment ID: O20110719000878

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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. Mr Emmet Michael Kenney Jr 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
Mr Emmet Michael Kenney Jr, MD
3201 33rd St S,
Fargo, ND 58104-8823

Ph: (701) 365-4488
Mr Emmet Michael Kenney Jr, MD
3201 33rd St S,
Fargo, ND 58104-8823

Ph: (701) 365-4488

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Psychiatry & Neurology Doctors in Fargo, ND

Susan L Scarberry, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 700 1st Ave S, Fargo, ND 58103
Phone: 701-234-4036    Fax: 701-234-4160
Charlotte Marie Andersen, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 510 4th Street S, Fargo, ND 58107
Phone: 701-476-7200    
Dr. Lawana Marie Burtnett, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 510 4th St S, Fargo, ND 58103
Phone: 701-476-7200    
Dr. Ravinda Samaraweera, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 700 1st Ave S, Fargo, ND 58103
Phone: 701-234-4036    Fax: 701-234-4160
Dr. Timothy T Vo, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2624 9th Ave S, Southeast Human Service Center, Fargo, ND 58103
Phone: 701-298-4500    Fax: 701-298-4400
Karis Antonia Stenback Irving, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Elm St Ne, Fargo, ND 58102
Phone: 615-918-0639    Fax: 612-749-3990
Amna Masood, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 736 Broadway N, Fargo, ND 58102
Phone: 701-234-2000    Fax: 701-234-2345

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