Heather Aine Kennedy, DO is a medicare enrolled "Family Medicine" physician in Orland, California. Her current practice location is
1211 Cortina Dr, Orland, California. You can reach out to her office (for appointments etc.) via phone at
(530) 865-5544.
Heather Aine Kennedy is licensed to practice in Wisconsin (license number 58094-21) 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 1821226499.
Physician's Profile
| Full Name | Heather Aine Kennedy |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1211 Cortina Dr, Orland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821226499
- Provider Enumeration Date: 06/23/2009
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991957342
- Enrollment ID: I20240103001852
Medical Identifiers
Medical identifiers for Heather Aine Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821226499 | NPI | - | NPPES |
| 1821226499 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 58094-21 (Wisconsin) | 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. Heather Aine Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Ampla Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952333635
PECOS PAC ID: 5092619270
Enrollment ID: O20040225001116 |
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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. Heather Aine 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 |
|---|
Heather Aine Kennedy, DO
1513 Park Ave,
Columbus, WI 53925-1618
Ph: (920) 623-9611 | Heather Aine Kennedy, DO
1211 Cortina Dr,
Orland, CA 95963-1699
Ph: (530) 865-5544 |
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