Kenneth D Warren Jr.


Address: 2 Berry Ct, Kennebunk, ME 04043-6812

Kenneth D Warren Jr. (NPI# 1689854382, PAC ID# 4486707155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1689854382
PAC ID by PECOS 4486707155
Professional Enrollment ID I20130213000028
Full Name Kenneth D Warren Jr.
Address 2 Berry Ct
Kennebunk
ME 04043-6812
Gender M
Medical School OHIO COLLEGE OF PODIATRIC MEDICINE
Graduation Year 2007
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
200019 SOUTHERN MAINE HEALTH CARE

Other Locations

Address Phone Organization
2 Berry Ct, Kennebunk, ME 04043-6812

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 100%
ACI_EC_TRANS_MR_1 Medication Reconciliation 87%
ACI_EC_TRANS_PEA_1 Provide Patient Access 17%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 24%

Organization Information

Office Location

Street Address 2 BERRY CT
City KENNEBUNK
State ME
Zip 04043-6812

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Rachel L Velardi Nurse Practitioner York Hospital 2 Independence Dr, Suite B, Kennebunk, ME 04043-6078
Jamie E. Mckenzie Hematology/oncology Maine Center for Cancer Medicine and Blood Disorders Pa 2 Independence Dr, Kennebunk, ME 04043-6078
Dixie L Knoll Nurse Practitioner Maine Center for Cancer Medicine and Blood Disorders Pa 2 Independence Dr, Kennebunk, ME 04043-6078
Melanie Cogan Nurse Practitioner Maine Center for Cancer Medicine and Blood Disorders Pa 2 Independence Dr, Kennebunk, ME 04043-6078
Kurt Ebrahim Hematology/oncology Maine Center for Cancer Medicine and Blood Disorders Pa 2 Independence Dr, Kennebunk, ME 04043-6078
Helen F Ryan Hematology/oncology Maine Center for Cancer Medicine and Blood Disorders Pa 2 Independence Dr, Kennebunk, ME 04043-6078
Amanda E Magnoli Nurse Practitioner Maine Center for Cancer Medicine and Blood Disorders Pa 2 Independence Dr, Kennebunk, ME 04043-6078
Can Ilyas Hematology/oncology Maine Center for Cancer Medicine and Blood Disorders Pa 2 Independence Dr, Kennebunk, ME 04043-6078
Find all physicians in zip 04043

Competitor

Search similar physicians

City KENNEBUNK
Zip Code 04043
Specialty PODIATRY
City + Specialty KENNEBUNK + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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