Ellen Kenney, PA is a medicare enrolled "Physician Assistant" provider in Atlanta, Georgia. Her current practice location is
2220 N Druid Hills Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(925) 788-1011.
Ellen Kenney is licensed to practice in Georgia (license number 11834) 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 1548719073.
Healthcare Provider's Profile
Full Name | Ellen Kenney |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2220 N Druid Hills Rd Ne, Atlanta, Georgia |
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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: 1548719073
- Provider Enumeration Date: 09/26/2016
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648718973
- Enrollment ID: I20240816002778
Medical Identifiers
Medical identifiers for Ellen Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548719073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD005118 (Georgia) | Secondary |
363A00000X | Physician Assistant | 11834 (Georgia) | 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. Ellen Kenney 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 |
Ellen Kenney, PA 2220 N Druid Hills Rd Ne, Atlanta, GA 30329-3117 Ph: () - | Ellen Kenney, PA 2220 N Druid Hills Rd Ne, Atlanta, GA 30329-3117 Ph: (925) 788-1011 |
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