Dr Lina Jacklyn Kennedy, MD in Corona Del Mar, CA

Dr Lina Jacklyn Kennedy, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Corona Del Mar, California. Her current practice location is 2121 E Coast Hwy Ste 280, Corona Del Mar, California. You can reach out to her office (for appointments etc.) via phone at (949) 688-1288.

Dr Lina Jacklyn Kennedy is licensed to practice in California (license number A141381) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467719260.

Contact Information

	Dr Lina Jacklyn Kennedy, MD
	2121 E Coast Hwy Ste 280, Corona Del Mar, CA 92625-1940
	(949) 688-1288
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lina Jacklyn Kennedy
Gender	Female
Speciality	Dermatology - Procedural Dermatology
Location	2121 E Coast Hwy Ste 280, Corona Del Mar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467719260
Provider Enumeration Date: 04/18/2012
Last Update Date: 09/23/2023

Medicare PECOS Information:

PECOS PAC ID: 3072894245
Enrollment ID: I20161229001804

Medical Identifiers

Medical identifiers for Dr Lina Jacklyn Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467719260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	A141381 (California)	Primary

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 Lina Jacklyn Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Grace Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467231811 PECOS PAC ID: 7911343793 Enrollment ID: O20240314004263

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 Lina Jacklyn 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
Dr Lina Jacklyn Kennedy, MD 2121 E Coast Hwy Ste 280, Corona Del Mar, CA 92625-1940 Ph: (949) 688-1288	Dr Lina Jacklyn Kennedy, MD 2121 E Coast Hwy Ste 280, Corona Del Mar, CA 92625-1940 Ph: (949) 688-1288

Reviews and Comments

Dermatology Doctors in Corona Del Mar, CA

Dr. Mark Minh Tran, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 E Coast Hwy Ste 110, Corona Del Mar, CA 92625 Phone: 949-629-4263 Fax: 949-629-4266
Dr. Madeline Lois Miller, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 E Coast Hwy, Suite 200, Corona Del Mar, CA 92625 Phone: 949-721-4161
Dr. Catherine Hee Yong Lee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 E Coast Hwy Ste 110, Corona Del Mar, CA 92625 Phone: 949-629-4263 Fax: 949-629-4266

Dr Lina Jacklyn Kennedy, MD - Medicare Dermatology in Corona Del Mar, CA