Dr Stephen Rogers Kennedy, MD | |
501 6th Ave S, St Petersburg, FL 33701-4634 | |
(727) 767-4243 | |
(727) 767-8612 |
Full Name | Dr Stephen Rogers Kennedy |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 501 6th Ave S, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003010984 | NPI | - | NPPES |
9072063 | Other | FL | AETNA |
309196 | Other | FL | AVMED |
81039 | Other | FL | BLUE CROSS/BLUE SHIELD |
512248 | Other | FL | STAYWELL/HEALTHEASE |
278329100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME98966 (Florida) | Primary |
208M00000X | Hospitalist | ME98966 (Florida) | Secondary |
Entity Name | Pediatric Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Rogers Kennedy, MD 501 6th Ave S, Box 6941, St Petersburg, FL 33701-4634 Ph: (727) 767-4429 | Dr Stephen Rogers Kennedy, MD 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (727) 767-4243 |
Supamit Ukarapong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-3636 | |
Kristy W Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Kenneth Franz-joseph Hearn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6671 13th Ave N Ste 1d, St Petersburg, FL 33710 Phone: 727-381-1147 Fax: 727-345-2489 | |
Dr. Lori Ann Mcauliffe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Pasadena Ave S, St Petersburg, FL 33707 Phone: 727-345-2212 Fax: 727-381-3444 | |
Dr. Mayer Michael Eisenfeld, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 9th St N, St Petersburg, FL 33704 Phone: 727-821-2121 Fax: 727-822-3285 | |
Dr. Jennifer Beck Dean, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-4176 |