Dr Craig Allen Kennedy, MD | |
1530 Bixby Rd, Mounds, OK 74047-5335 | |
(918) 366-9152 | |
(918) 366-1170 |
Full Name | Dr Craig Allen Kennedy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 46 Years |
Location | 1530 Bixby Rd, Mounds, Oklahoma |
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 |
---|---|---|---|
1356332555 | NPI | - | NPPES |
930085465 | Other | OK | RAILROAD MEDICARE |
100790580D | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 14981 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Oklahoma Medical Center | Poteau, OK | Hospital |
Hillcrest Hospital South | Tulsa, OK | Hospital |
Mercy Hospital Joplin | Joplin, MO | Hospital |
Hillcrest Medical Center | Tulsa, OK | Hospital |
Muscogee (creek) Nation Medical Center | Okmulgee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 78 |
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Creek Nation Hospital And Clinics | 5698786226 | 277 |
Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 78 |
Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 78 |
Entity Name | Norman Regional Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912563727 PECOS PAC ID: 2769395185 Enrollment ID: O20031111000299 |
Entity Name | St John Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Entity Name | Green Country Emergency Physicians Group Of Tulsa, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972698553 PECOS PAC ID: 0345247052 Enrollment ID: O20061021000024 |
Entity Name | Creek Nation Hospital & Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Mercy Hospital Logan County, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
Entity Name | Oklahoma Emergency Physician Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891039764 PECOS PAC ID: 0345493649 Enrollment ID: O20130118000115 |
Entity Name | Mercy Hospital Kingfisher, Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1285064618 PECOS PAC ID: 5395970180 Enrollment ID: O20140416000368 |
Mailing Address | Practice Location Address |
---|---|
Dr Craig Allen Kennedy, MD 1530 Bixby Rd, Mounds, OK 74047-5335 Ph: (918) 366-9152 | Dr Craig Allen Kennedy, MD 1530 Bixby Rd, Mounds, OK 74047-5335 Ph: (918) 366-9152 |