Dr Timothy J Kennedy, DC in Moline, IL - Medicare Chiropractor Provider

Dr Timothy J Kennedy, DC is a medicare enrolled "Chiropractor" provider in Moline, Illinois. His current practice location is 1712 15th Street Pl, Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 797-5700.

Dr Timothy J Kennedy is licensed to practice in Illinois (license number 038-003971) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568433720.

Contact Information

	Dr Timothy J Kennedy, DC
	1712 15th Street Pl, Moline, IL 61265-3961
	(309) 797-5700
	(309) 762-4645

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy J Kennedy
Gender	Male
Speciality	Chiropractor
Location	1712 15th Street Pl, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568433720
Provider Enumeration Date: 01/27/2006
Last Update Date: 09/19/2012

Medicare PECOS Information:

PECOS PAC ID: 1759287188
Enrollment ID: I20031216000312

Medical Identifiers

Medical identifiers for Dr Timothy J Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568433720	NPI	-	NPPES
038003971	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	038-003971 (Illinois)	Primary

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. Dr Timothy J Kennedy allows following entities to bill medicare on his behalf.

Provider Name	Quad Cities Wellness And Rehabilitation Center Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457577793 PECOS PAC ID: 7012018328 Enrollment ID: O20070730000824

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. Dr Timothy J Kennedy 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 Address	Practice Location Address
Dr Timothy J Kennedy, DC 1712 15th Street Pl, Moline, IL 61265-3961 Ph: (309) 797-5700	Dr Timothy J Kennedy, DC 1712 15th Street Pl, Moline, IL 61265-3961 Ph: (309) 797-5700

Reviews and Comments

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Dr Timothy J Kennedy, DC - Medicare Chiropractor in Moline, IL