Steven Clark Kennedy, MD is a medicare enrolled "Surgery" physician in Ringgold, Georgia. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Memorial Health Partners Foundation, Inc, Memorial Health Partners Foundation, Inc and his current practice location is
4700 Battlefield Pkwy Ste 220, Ringgold, Georgia. You can reach out to his office (for appointments etc.) via phone at
(423) 698-8692.
Steven Clark Kennedy is licensed to practice in Georgia (license number 072631) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376537001.
Physician's Profile
| Full Name | Steven Clark Kennedy |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 27 Years |
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| Location | 4700 Battlefield Pkwy Ste 220, Ringgold, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Steven Clark Kennedy attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1997
NPI Data:
- NPI Number: 1376537001
- Provider Enumeration Date: 09/08/2005
- Last Update Date: 04/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810961638
- Enrollment ID: I20040825001359
Medical Identifiers
Medical identifiers for Steven Clark Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376537001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 37194 (Tennessee) | Secondary |
| 208600000X | Surgery | 072631 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Health Partners Foundation, Inc | 8022919570 | 298 |
| Memorial Health Partners Foundation, Inc | 8022919570 | 298 |
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. Steven Clark Kennedy allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Health Partners Foundation, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922053545
PECOS PAC ID: 8022919570
Enrollment ID: O20040116000823 |
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| Entity Name | Cookeville Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023397031
PECOS PAC ID: 7810805736
Enrollment ID: O20040921001310 |
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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. Steven Clark 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 |
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Steven Clark Kennedy, MD
4700 Battlefield Pkwy Ste 220,
Ringgold, GA 30736-5168
Ph: (423) 698-8692 | Steven Clark Kennedy, MD
4700 Battlefield Pkwy Ste 220,
Ringgold, GA 30736-5168
Ph: (423) 698-8692 |
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