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DR. KENNETH MARCUS POEMOCEAH MD
NPI 1881652592
Family Medicine in Gravette, AR

Active since May 02, 2006PECOS Enrolled
1102 JACKSON ST SW, GRAVETTE, AR 72736(479) 787-5221(479) 787-5613 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2023, Aug 18, 2022 (2 updates tracked since 2022).

About Dr. Kenneth Marcus Poemoceah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH MARCUS POEMOCEAH MD (NPI 1881652592) is an individual family medicine provider in Gravette, Arkansas, licensed in Arkansas (N8028) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881652592
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH MARCUS POEMOCEAHCredential: MD
Location Address1102 JACKSON ST SWGravette, AR 72736-9121
Mailing Address1101 Jackson St SwGravette, AR 72736-9121 · (479) 787-5221 · Fax (479) 787-5613
Phone(479) 787-5221
Fax(479) 787-5613
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1881652592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · N8028
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1102 JACKSON ST SW, Gravette, AR 72736
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Other Identifiers 6

Medicaid100096320AOK
Medicaid117997001AR
Medicaid202892501MO
Other54175AR · Bcbs (ar)
OtherP00298552AR · Railroad Medicare
Other100726240DOK · Ok Group Medicaid Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Marcus Poemoceah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Poemoceah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sgoh Acquisition Inc
0.1 mi
Critical Access
1101 JACKSON ST SW
Gravette, AR 72736
  • Reassigned Medicare billing, Arkansas and Missouri enrollments
  • Also billed through NPI 1114924768 (Missouri)
  • 14 clinicians in this Medicare group
NPI 1568643005 (479) 787-5291

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAVETTE DENTAL ASSOCIATES PLLC
Clinic/Center (Dental)
1102 JACKSON ST SW
GRAVETTE, AR 72736
Benton County (479) 736-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Poemoceah's NPI number?

The NPI number for Kenneth Poemoceah is 1881652592. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Kenneth Poemoceah located?

Kenneth Poemoceah practices at 1102 Jackson St SW, Gravette, AR 72736. The listed phone number is (479) 787-5221.

What is Kenneth Poemoceah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Poemoceah enrolled in Medicare?

Yes. Kenneth Poemoceah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Poemoceah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Poemoceah reassigns Medicare benefits to Sgoh Acquisition Inc (Gravette, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Poemoceah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Poemoceah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 5 other insurers list Kenneth Poemoceah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Poemoceah was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.