Carol A Kennedy, MD in Perrysburg, OH

Carol A Kennedy, MD is a medicare enrolled "Pediatrics" physician in Perrysburg, Ohio. Her current practice location is 1601 Brigham Dr, Suite 200, Perrysburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 872-7700.

Carol A Kennedy is licensed to practice in Ohio (license number 34057194) 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 1255323291.

Contact Information

	Carol A Kennedy, MD
	1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114
	(419) 872-7700
	(419) 874-0196

Map and Direction

Physician's Profile

Full Name	Carol A Kennedy
Gender	Female
Speciality	Pediatrics
Location	1601 Brigham Dr, Perrysburg, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255323291
Provider Enumeration Date: 08/16/2005
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1759522188
Enrollment ID: I20240118001882

Medical Identifiers

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

Identifier	Type	State	Issuer
1255323291	NPI	-	NPPES
00625	Other	OH	PHC
000000141232	Other	OH	ANTHEM
0634374	Other	OH	AETNA
12-01218	Other	OH	UHC
0741344	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35057194 (Ohio)	Secondary
208000000X	Pediatrics	34057194 (Ohio)	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. Carol A Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

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. Carol A 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
Carol A Kennedy, MD 1620 Brigham Dr Ste 240, Perrysburg, OH 43551-7124 Ph: (419) 872-7700	Carol A Kennedy, MD 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 Ph: (419) 872-7700

Reviews and Comments

Pediatrics Doctors in Perrysburg, OH

Jon R Dvorak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196
Vidya K Ramanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196
Dr. Jennifer K. Fallon-delucia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 28555 Starbright Blvd Ste B, Perrysburg, OH 43551 Phone: 419-931-3030 Fax: 419-931-3046
Kenneth A Turk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 Brigham Dr Ste 240, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196
Dr. Jacob N Maciejewski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-847-0196
Dr. Colleen J Olson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr Ste 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196

Carol A Kennedy, MD - Medicare Pediatrics in Perrysburg, OH