Alexander Woodward Kennon, MD - Medicare Undefined Physician Type (specify) in Sebring, FL

Alexander Woodward Kennon, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Sebring, Florida. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Undefined Physician Type (specify). He is a member of the group practice Lakeside Dermatology Llc and his current practice location is 727 Us Highway 27 S, Sebring, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 385-7183.

Alexander Woodward Kennon is licensed to practice in Florida (license number ME136268) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053675868.

Contact Information

Alexander Woodward Kennon, MD
727 Us Highway 27 S,
Sebring, FL 33870-2169
(863) 385-7183
Not Available

Map and Direction




Physician's Profile

Full NameAlexander Woodward Kennon
GenderMale
SpecialityUndefined Physician Type (specify)
Experience12 Years
Location727 Us Highway 27 S, Sebring, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alexander Woodward Kennon graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1053675868
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 10/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961795133
  • Enrollment ID: I20181030002375

Medical Identifiers

Medical identifiers for Alexander Woodward Kennon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053675868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery ME136268 (Florida)Primary
207N00000XDermatology ME136268 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fusion HealthcareTampa, FLHome health agency
Adventhealth SebringSebring, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeside Dermatology Llc95375951944

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. Alexander Woodward Kennon allows following entities to bill medicare on his behalf.
Entity NameMichael J Rogers
Entity TypePractitioner - Dermatology
Entity IdentifiersNPI Number: 1003876053
PECOS PAC ID: 7012967102
Enrollment ID: I20050127000228
Entity NameLakeside Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922257260
PECOS PAC ID: 9537595194
Enrollment ID: O20200130002421

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. Alexander Woodward Kennon 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
Alexander Woodward Kennon, MD
727 Us Highway 27 S,
Sebring, FL 33870-2169

Ph: (863) 385-7183
Alexander Woodward Kennon, MD
727 Us Highway 27 S,
Sebring, FL 33870-2169

Ph: (863) 385-7183

Reviews and Comments


Dermatology Doctors in Sebring, FL

Michael J Rogers,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 727 Us 27 South, Sebring, FL 33870
Phone: 863-385-7183    Fax: 863-385-0088
Darrin A Rotman, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3109 Medical Way, Sebring, FL 33870
Phone: 863-386-0786    Fax: 863-386-1848

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.