Richard Gordon Kennedy, MD | |
1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 | |
(585) 758-0777 | |
(585) 388-9079 |
Full Name | Richard Gordon Kennedy |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1835 Fairport Nine Mile Point Rd, Penfield, 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 |
---|---|---|---|
1881659845 | NPI | - | NPPES |
01159993 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 167256 (New York) | Primary |
Entity Name | Anthony L. Jordan Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649529678 PECOS PAC ID: 8729079785 Enrollment ID: O20040519001335 |
Entity Name | University Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20130619000286 |
Mailing Address | Practice Location Address |
---|---|
Richard Gordon Kennedy, MD 1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 Ph: (585) 758-0777 | Richard Gordon Kennedy, MD 1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 Ph: (585) 758-0777 |
Dr. Atit Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0460 | |
Dr. David D Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2212 Penfield Rd, Suite 100, Penfield, NY 14526 Phone: 585-598-8505 Fax: 585-598-8122 | |
Nancy Yani, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0060 | |
Shaula Woz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1835 Fairport Nine Mile Point Rd Ste 100, Penfield, NY 14526 Phone: 585-758-0777 Fax: 585-388-9079 | |
Laura E Gift, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1835 Nine Mile Point Rd, Suite 100, Penfield, NY 14526 Phone: 585-758-0777 Fax: 585-388-9079 | |
Dr. Pamela C Grover, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 421 Penbrooke Dr, Suite #6, Penfield, NY 14526 Phone: 585-623-4430 Fax: 585-623-4436 | |
Dr. Rachel D Yankey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0060 Fax: 585-922-0969 |