Dr Jasiri Kennedy, MD - Medicare Emergency Medicine in Rockport, TX

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Dr Jasiri Kennedy, MD is a medicare enrolled "Emergency Medicine" physician in Rockport, Texas. He went to University Of California, Davis School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southern Inyo Healthcare District, Fairfield Memorial Hospital Association and his current practice location is 1325 Broadway St, Rockport, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 729-0646.

Dr Jasiri Kennedy is licensed to practice in California (license number A81294) 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 1972583185.

Contact Information

Dr Jasiri Kennedy, MD
1325 Broadway St,
Rockport, TX 78382-3333
(361) 729-0646
(361) 729-8854

Map and Direction




Physician's Profile

Full NameDr Jasiri Kennedy
GenderMale
SpecialityEmergency Medicine
Experience28 Years
Location1325 Broadway St, Rockport, Texas
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:
  • Dr Jasiri Kennedy attended and graduated from University Of California, Davis School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1972583185
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 12/19/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2264417708
  • Enrollment ID: I20050705000896

Medical Identifiers

Medical identifiers for Dr Jasiri Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972583185NPI-NPPES
036098701MedicaidIL
00A812940MedicaidCA
3932056OtherILBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine L4016 (Texas)Secondary
207Q00000XFamily Medicine L4016 (Texas)Secondary
207P00000XEmergency Medicine A81294 (California)Primary
207P00000XEmergency Medicine 036-098701 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairfield Memorial Hospital 1Fairfield, ILHospital
Southern Inyo HospitalLone pine, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Inyo Healthcare District791181673117
Fairfield Memorial Hospital Association569867174124

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 Jasiri Kennedy allows following entities to bill medicare on his behalf.
Entity NameSouthern Inyo Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831128602
PECOS PAC ID: 7911816731
Enrollment ID: O20040317000188
Entity NameTeam Physicians Of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447288345
PECOS PAC ID: 8224945084
Enrollment ID: O20040920000880
Entity NameAltamont Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952392375
PECOS PAC ID: 5496700759
Enrollment ID: O20050318000840
Entity NameClinic Services Of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578958450
PECOS PAC ID: 7810209715
Enrollment ID: O20150707001394

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 Jasiri 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 AddressPractice Location Address
Dr Jasiri Kennedy, MD
1325 Broadway St,
Rockport, TX 78382-3333

Ph: (361) 729-0646		Dr Jasiri Kennedy, MD
1325 Broadway St,
Rockport, TX 78382-3333

Ph: (361) 729-0646

Reviews and Comments


Emergency Medicine Doctors in Rockport, TX

Alexander Milian, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 638 E Market St, Rockport, TX 78382
Phone: 512-321-8762    
Dr. Karl Kietzke, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1325 Broadway St, Rockport, TX 78382
Phone: 361-729-0646    Fax: 361-729-8854
Dr. Ernest Carson Alsop, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2621 Hwy 35 N, Rockport, TX 78382
Phone: 361-729-3939    Fax: 361-729-1782
Dr. Erlinda Devera, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 638 East Market Street, Rockport, TX 78382
Phone: 361-729-0646    Fax: 361-729-8854
Dr. Anelia Petkova, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1325 Broadway St, Rockport, TX 78382
Phone: 361-729-0646    Fax: 361-729-8854
Dr. Nick Giannone, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Broadway St, Rockport, TX 78382
Phone: 361-729-0646    Fax: 361-729-8854
Michael Woollends, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1325 Broadway St, Rockport, TX 78382
Phone: 361-729-0646    Fax: 361-729-8854

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.