Dr Carlos C Kennedy, MD | |
2819 N Parham Rd Ste 100, Richmond, VA 23294-4425 | |
(804) 288-9466 | |
(804) 288-9326 |
Full Name | Dr Carlos C Kennedy |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 21 Years |
Location | 2819 N Parham Rd Ste 100, Richmond, Virginia |
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 |
---|---|---|---|
1104841857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 01083917A (Indiana) | Secondary |
207X00000X | Orthopaedic Surgery | 0101236797 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cjw Medical Center | Richmond, VA | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chippenham And Johnston-willis Sports Medicine, Llc | 5698711356 | 4 |
Mercy Clinic Trauma And General Surgery Llc | 1658320700 | 39 |
Entity Name | Chippenham And Johnston-willis Sports Medicine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740229608 PECOS PAC ID: 5698711356 Enrollment ID: O20050701000972 |
Entity Name | Synergy Surgicalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114334422 PECOS PAC ID: 0244553105 Enrollment ID: O20220513000659 |
Mailing Address | Practice Location Address |
---|---|
Dr Carlos C Kennedy, MD 213 Mama Sandy St, Piti, GU 96915-5532 Ph: (671) 344-9315 | Dr Carlos C Kennedy, MD 2819 N Parham Rd Ste 100, Richmond, VA 23294-4425 Ph: (804) 288-9466 |
Dr. Stephen Lloyd Kates, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Orthopaedic Surgery, Richmond, VA 23298 Phone: 804-828-7069 Fax: 804-828-4762 | |
Dr. David Daniel Nedeff, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Johnston Willis Dr, Suite A, Richmond, VA 23235 Phone: 804-379-8088 Fax: 804-794-6067 | |
Victoria Gregg Kuester, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Orthoapaedic Surgery, Richmond, VA 23298 Phone: 804-828-7069 Fax: 804-827-1521 | |
Jonathan Brett Goodloe, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1001 E Leigh St, Richmond, VA 23298 Phone: 804-828-7069 Fax: 804-828-4762 | |
Jason R Hull, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Maple Ave, Suite 200, Richmond, VA 23226 Phone: 804-285-2300 Fax: 804-285-8420 | |
Dr. Ilvy Hildegard Cotterell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 E Broad St, Department Of Orthopaedics, West Hospital, 9th Floor, Richmond, VA 23298 Phone: 804-828-0951 |