Gregory A Kennebeck, MD - Medicare Family Medicine in Travis Afb, CA

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Gregory A Kennebeck, MD is a medicare enrolled "Family Medicine" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-1110.

Gregory A Kennebeck is licensed to practice in California (license number A63038) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871579847.

Contact Information

Gregory A Kennebeck, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809
(707) 423-1110
Not Available

Map and Direction




Physician's Profile

Full NameGregory A Kennebeck
GenderMale
SpecialityFamily Medicine
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871579847
  • Provider Enumeration Date: 12/21/2005
  • Last Update Date: 05/31/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0143492413
  • Enrollment ID: I20111010000235

Medical Identifiers

Medical identifiers for Gregory A Kennebeck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871579847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A63038 (California)Secondary
207Q00000XFamily Medicine A63038 (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. Gregory A Kennebeck allows following entities to bill medicare on his behalf.
Entity NameMiami Valley Emergency Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821189085
PECOS PAC ID: 9537064183
Enrollment ID: O20031205000322
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864
Entity NameApp Of Ohio Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619418696
PECOS PAC ID: 6103102959
Enrollment ID: O20170411001544

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. Gregory A Kennebeck 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 AddressPractice Location Address
Gregory A Kennebeck, MD
2312 Far Hills Ave # 147,
Dayton, OH 45419-1512

Ph: (937) 938-3329		Gregory A Kennebeck, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (707) 423-1110

Reviews and Comments


Family Medicine Doctors in Travis Afb, CA

Dr. Patrick Aaron Shea, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3369    
Brett C Johnson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3383    
Dr. Breanna L Gawrys, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3057    
Courtney Ann Dawley, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3000    Fax: 707-423-3501
Dr. Brian M Davis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7113    
Dr. David M Olson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Circle, Travis Afb, CA 94535
Phone: 707-423-3842    
Kent Do,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7113    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.