Dr James P Kennedy, MD is a medicare enrolled "Orthopaedic Surgery" physician in Barberton, Ohio. He went to Northeastern Ohio University College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Crystal Clinic Orthopaedic Center, Llc, Crystal Clinic, Inc. and his current practice location is
72 5th St Se, Suite A, Barberton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 670-4111.
Dr James P Kennedy is licensed to practice in Ohio (license number 35.052187) 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 1114970357.
Physician's Profile
| Full Name | Dr James P Kennedy |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 40 Years |
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| Location | 72 5th St Se, Barberton, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James P Kennedy attended and graduated from Northeastern Ohio University College Of Medicine in 1984
NPI Data:
- NPI Number: 1114970357
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 04/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 1557395258
- Enrollment ID: I20100325000251
Medical Identifiers
Medical identifiers for Dr James P Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114970357 | NPI | - | NPPES |
| 0803090 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 35.052187 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Crystal Clinic Orthopaedic Center, Llc | 6507934015 | 37 |
| Crystal Clinic, Inc. | 7214821586 | 50 |
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. Dr James P Kennedy allows following entities to bill medicare on his behalf.
| Entity Name | Crystal Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619906914
PECOS PAC ID: 7214821586
Enrollment ID: O20040209001226 |
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| Entity Name | Crystal Clinic Orthopaedic Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669669917
PECOS PAC ID: 6507934015
Enrollment ID: O20150730012144 |
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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. Dr James P 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 |
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Dr James P Kennedy, MD
72 5th St Se, Suite A,
Barberton, OH 44203-4201
Ph: (330) 670-4111 | Dr James P Kennedy, MD
72 5th St Se, Suite A,
Barberton, OH 44203-4201
Ph: (330) 670-4111 |
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