Edward F McKenney, D.O.
Individual provider Active NPI Family Medicine Physician · Hamilton, IL
NPI 1457334591 · NPPES record last updated Jul 14, 2008
Key facts
- NPI
- 1457334591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036058009 (IL)
- Practice address
- 1471 Keokuk St
Hamilton, IL 62341-1135 - Phone
- (217) 847-3383
- Fax
- (217) 847-2832
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital Association
Practice addresses (Care Compare)
1454 N County Rd
Suite 2050
Carthage, IL 62321-0160
Phone (217) 357-8500
Hospital & facility affiliations
- Hancock County Health Department
- Lee County Health Department
- Memorial Hospital
- MC Donough District Hospital
- Blessing Hospital
- Southeast Iowa Regional Medical Center
- Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 27 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 28 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080425000306 | IL | Practitioner - General Practice |
8325942782 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Memorial Hospital Association | Current |
Accepting new patients | |
| Memorial Hospital Association | Current |
Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Advance Physical Therapy of Hancock County LLC | Past |
Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients |
Locations
402 S Adams St
Carthage, IL 62321
Phone (217) 357-3131
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
630 Locust St
Carthage, IL 62321
Phone (217) 357-2173
1471 Keokuk St
Hamilton, IL 62341
Phone (217) 847-3383
Interoperability endpoints
- emckenney584764@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036058009 | IL | Yes |
Addresses
Primary practice location
1471 Keokuk St
Hamilton, IL 62341-1135
Mailing address
1471 Keokuk St
PO Box 312
Hamilton, IL 62341-1135
Phone (217) 847-3383
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058009 | Medicaid | IL | |
| 0948398 | Medicaid | IA |
Other providers in Hamilton, IL
- Gaps Health Il, S.C.
- Mary Angela Glasgow
- Hamilton CCSD 328
- Hy-Vee Inc
- May Rose Delluza Marquez
- Memorial Hospital Association
- Benjamin Philip Morgan
- Susan Elaine Peters
- Daniel Reinhardt
- Max Rodeffer
All providers in Hamilton, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.