Jan C Kennedy, MD | |
2701 N Decatur Rd, Pathology Dept, Decatur, GA 30033-5918 | |
(404) 501-1000 | |
Not Available |
Full Name | Jan C Kennedy |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 40 Years |
Location | 2701 N Decatur Rd, Decatur, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548265390 | NPI | - | NPPES |
000429118K | Medicaid | GA | |
000429118L | Medicaid | GA | |
160113 | Other | GA | BLUE CROSS BLUE SHIELD |
567752 | Other | GA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 031046 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory Decatur Hospital | Decatur, GA | Hospital |
Emory Hillandale Hospital | Lithonia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dekalb Pathology Pc | 1254436322 | 13 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Dekalb Pathology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376641290 PECOS PAC ID: 1254436322 Enrollment ID: O20070418000242 |
Mailing Address | Practice Location Address |
---|---|
Jan C Kennedy, MD Po Box 1457, Bluefield, WV 24701-1457 Ph: () - | Jan C Kennedy, MD 2701 N Decatur Rd, Pathology Dept, Decatur, GA 30033-5918 Ph: (404) 501-1000 |
Shannon Marie O'brien, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Cynthia C Lambert, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Pathology Dept, Decatur, GA 30033 Phone: 404-501-1000 | |
Dr. Ling Chen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-508-0566 Fax: 404-508-0566 | |
Dr. Robert Kevin Harrell, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 428 Winn Ct, Decatur, GA 30030 Phone: 770-384-0284 | |
Amy Leigh Adams, MD Pathology Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5000 | |
Rochelle A Simon, MD Pathology Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5256 Fax: 404-297-0444 | |
Nicole Rita Darius, MLS Pathology Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 |