Dr Jeremy Scott Kennedy, DO | |
14506 W Granite Valley Dr, #124, Sun City West, AZ 85375-6010 | |
(623) 584-2127 | |
(623) 854-1257 |
Full Name | Dr Jeremy Scott Kennedy |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 22 Years |
Location | 14506 W Granite Valley Dr, Sun City West, Arizona |
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 |
---|---|---|---|
1528022779 | NPI | - | NPPES |
4Z8735 | Other | HEALTH NET | |
3437670 | Other | AZ | UNITED HEALTHCARE |
9558781 | Other | AZ | AETNA |
1528022779 | Other | AZ | BLUE CROSS BLUE SHIELD |
707257 | Other | AZ | AHCCCS |
707257 | Medicaid | AZ | |
P01043135 | Other | AZ | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 5839 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Skin Specialists Llc | 9739079864 | 47 |
Entity Name | Southwest Skin Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174521926 PECOS PAC ID: 9739079864 Enrollment ID: O20040319001063 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Scott Kennedy, DO 13943 N 91 Avenue, C-101, Peoria, AZ 85381-3629 Ph: (623) 760-9449 | Dr Jeremy Scott Kennedy, DO 14506 W Granite Valley Dr, #124, Sun City West, AZ 85375-6010 Ph: (623) 584-2127 |
Anthony D Santos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375 Phone: 623-583-5180 Fax: 623-583-5304 | |
James W Groff, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
Katharine M Bermingham Cordova, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14506 W Granite Valley Dr, #206, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
Elizabeth A Owen, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
Susan Whitmore, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14506 W Granite Valley Dr, #124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 | |
John E Schlicher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375 Phone: 623-584-2127 Fax: 623-584-1257 |