Dr John J Kennedy Jr, MD | |
1675 Providence Ave, Schenectady, NY 12309 | |
(518) 377-3439 | |
(518) 377-0436 |
Full Name | Dr John J Kennedy Jr |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 1675 Providence Ave, Schenectady, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356382378 | NPI | - | NPPES |
10001040 | Other | CDPHP | |
00747291 | Medicaid | NY | |
17108 | Other | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 1390921 (New York) | Primary |
207W00000X | Ophthalmology | D0021006 (Maryland) | Secondary |
Entity Name | Kennedy Ophthalmic Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215150552 PECOS PAC ID: 6002709557 Enrollment ID: O20040206000677 |
Mailing Address | Practice Location Address |
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Dr John J Kennedy Jr, MD 1675 Providence Ave, Schenectady, NY 12309 Ph: (518) 377-3439 | Dr John J Kennedy Jr, MD 1675 Providence Ave, Schenectady, NY 12309 Ph: (518) 377-3439 |
Franklin B Longo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott Street, Suite 105, Schenectady, NY 12308 Phone: 518-374-0483 Fax: 518-374-0515 | |
Dr. Susan A Kessler-schwartz, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-344-7527 Fax: 518-377-2069 | |
Glenn William Thompson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1675 Providence Ave, Schenectady, NY 12309 Phone: 518-377-3439 Fax: 518-377-0436 | |
Dr. Robert J Kennedy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1675 Providence Avenue, Schenectady, NY 12309 Phone: 518-377-3439 | |
Lynn Eileen Boler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-382-1130 Fax: 518-382-1173 | |
Dr. Philip Andrew Fraterrigo, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Mcclellan St, St. Clare's Medical Arts Building, Schenectady, NY 12304 Phone: 518-382-1130 Fax: 518-382-1173 |