Dr Alexandra Ricker Kennedy, DDS, MS - Medicare Dentist in Tyler, TX

Dr Alexandra Ricker Kennedy, DDS, MS is a medicare enrolled "Dentist - Periodontics" provider in Tyler, Texas. Her current practice location is 3805 Brookside Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 581-2900.

Dr Alexandra Ricker Kennedy is licensed to practice in Texas (license number 35680) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891347951.

Contact Information

Dr Alexandra Ricker Kennedy, DDS, MS
3805 Brookside Dr,
Tyler, TX 75701-9421
(903) 581-2900
(903) 509-0160

Map and Direction




Healthcare Provider's Profile

Full NameDr Alexandra Ricker Kennedy
GenderFemale
SpecialityDentist - Periodontics
Location3805 Brookside Dr, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891347951
  • Provider Enumeration Date: 07/09/2019
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052774288
  • Enrollment ID: I20230905003868

Medical Identifiers

Medical identifiers for Dr Alexandra Ricker Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891347951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 35680 (Texas)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 Alexandra Ricker 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 AddressPractice Location Address
Dr Alexandra Ricker Kennedy, DDS, MS
3805 Brookside Dr,
Tyler, TX 75701-9421

Ph: (903) 581-2900
Dr Alexandra Ricker Kennedy, DDS, MS
3805 Brookside Dr,
Tyler, TX 75701-9421

Ph: (903) 581-2900

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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