Bruce Kennedy, MD in Concord, NC - Medicare Pediatrics

Bruce Kennedy, MD is a medicare enrolled "Pediatrics" physician in Concord, North Carolina. His current practice location is 100 Medical Park Dr, Ste 110, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 403-1370.

Bruce Kennedy is licensed to practice in North Carolina (license number 29604) 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 1659758159.

Contact Information

	Bruce Kennedy, MD
	100 Medical Park Dr, Ste 110, Concord, NC 28025-2948
	(704) 403-1370
	Not Available

Map and Direction

Physician's Profile

Full Name	Bruce Kennedy
Gender	Male
Speciality	Pediatrics
Location	100 Medical Park Dr, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659758159
Provider Enumeration Date: 05/04/2015
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 6901805498
Enrollment ID: I20160822002954

Medical Identifiers

Medical identifiers for Bruce Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659758159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	29604 (North Carolina)	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. Bruce Kennedy allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Bruce 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
Bruce Kennedy, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Bruce Kennedy, MD 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 Ph: (704) 403-1370

Reviews and Comments

Pediatrics Doctors in Concord, NC

Laura Jean Mock, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1040 Vinehaven Drive, Concord, NC 28025 Phone: 704-784-1010 Fax: 704-784-1013
Amanda Lynn Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2860
Andrew Zachary Heling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2660
Robert A Nahouraii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 70 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-355-9794
Kevin Michael Tompkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664
Rula Musa Freiji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660
Joel Lutterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664

Bruce Kennedy, MD - Medicare Pediatrics in Concord, NC