Dr Gregory Lynn Kennedy, DMD is a medicare enrolled "Dentist - General Practice" provider in Grand Bay, Alabama. His current practice location is
12475 Us Highway 90, Grand Bay, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 865-3500.
Dr Gregory Lynn Kennedy is licensed to practice in Alabama (license number 3862) 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 1336223395.
Healthcare Provider's Profile
Full Name | Dr Gregory Lynn Kennedy |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 12475 Us Highway 90, Grand Bay, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336223395
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719269612
- Enrollment ID: I20170130002521
Medical Identifiers
Medical identifiers for Dr Gregory Lynn Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336223395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3862 (Alabama) | Primary |
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 Gregory Lynn 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 Gregory Lynn Kennedy, DMD Po Box 629, Grand Bay, AL 36541-0629 Ph: (251) 865-3500 | Dr Gregory Lynn Kennedy, DMD 12475 Us Highway 90, Grand Bay, AL 36541-5707 Ph: (251) 865-3500 |
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