| Dr Jason Matthew Kennedy, MD | |
|
1500 Cooper St, Fort Worth, TX 76104-2710 | |
| (682) 885-4405 | |
| (682) 885-4407 |
| Full Name | Dr Jason Matthew Kennedy |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
| Location | 1500 Cooper St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699912469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | N5150 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Matthew Kennedy, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Dr Jason Matthew Kennedy, MD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-4405 |
Dr. Mark P Kuper, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6251 Oakmont Blvd, Fort Worth, TX 76132 Phone: 817-735-9397 Fax: 817-735-8340 | |
Dr. Brian Matthew Danshaw, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-916-4685 Fax: 817-769-3718 | |
Harry Anderson Dollahite, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1401 8th Ave, Fort Worth, TX 76104 Phone: 817-922-9299 Fax: 817-923-3968 | |
Dr. Andrew Albert Indresano, M.D Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3160 N Tarrant Pkwy Ste 404, Fort Worth, TX 76177 Phone: 817-205-2939 Fax: 817-887-3015 | |
Dr. Bryan Anthony Reyes, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-877-3277 Fax: 817-877-3280 | |
Stephanie Goldstein, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-4405 Fax: 682-885-4407 | |
Joe M Todd, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1106 Alston Ave Ste 201, Fort Worth, TX 76104 Phone: 817-921-3461 Fax: 817-921-5602 |