Brian Kennedy, | |
1423 N Jefferson Ave, B100, Springfield, MO 65802 | |
(417) 269-8787 | |
(417) 269-8744 |
Full Name | Brian Kennedy |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 1423 N Jefferson Ave, B100, Springfield, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275054215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2017022156 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Regional Health System | Conway, AR | Hospital |
Ozark Health | Clinton, AR | Hospital |
Chi-st Vincent Infirmary | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conway Regional Medical Center Inc | 3173428414 | 131 |
Entity Name | Conway Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396913976 PECOS PAC ID: 3173428414 Enrollment ID: O20080404000463 |
Entity Name | Prime Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033454723 PECOS PAC ID: 4183878176 Enrollment ID: O20130128000344 |
Mailing Address | Practice Location Address |
---|---|
Brian Kennedy, 1423 N Jefferson Ave # B100, Springfield, MO 65802-1917 Ph: (417) 269-8787 | Brian Kennedy, 1423 N Jefferson Ave, B100, Springfield, MO 65802 Ph: (417) 269-8787 |
Shalvinder Kaur Seehra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3525 E Battlefield St, Springfield, MO 65809 Phone: 417-269-1499 Fax: 417-269-1459 | |
Harwinder K Dhanoa, Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 E Evergreen St, Springfield, MO 65803 Phone: 417-823-2900 | |
Thomas E Dahlberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3322 S Campbell Ave Ste T-1, Springfield, MO 65807 Phone: 417-220-4480 Fax: 417-414-0017 | |
Dr. John H Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 280, Springfield, MO 65807 Phone: 417-885-0834 Fax: 417-888-6763 | |
Dr. Jay L Sparks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 220, Springfield, MO 65807 Phone: 417-820-7450 Fax: 417-820-7455 | |
Dr. Conrad Mitchell Bajor, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 | |
Dr. William Russell Detten, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 E Republic Rd, Springfield, MO 65804 Phone: 417-269-1362 Fax: 417-269-1372 |