Jerone Danuel Kennedy, MD is a medicare enrolled "Neurological Surgery" physician in Saint Cloud, Minnesota. He went to Stanford University School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Centracare Clinic and his current practice location is
1200 6th Ave N, Centracare Clinic, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(757) 388-6115.
Jerone Danuel Kennedy is licensed to practice in Minnesota (license number 39807) 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 1780644401.
Physician's Profile
| Full Name | Jerone Danuel Kennedy |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 35 Years |
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| Location | 1200 6th Ave N, Saint Cloud, Minnesota |
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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:
- Jerone Danuel Kennedy attended and graduated from Stanford University School Of Medicine in 1990
NPI Data:
- NPI Number: 1780644401
- Provider Enumeration Date: 03/25/2006
- Last Update Date: 03/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941293377
- Enrollment ID: I20050510000151
Medical Identifiers
Medical identifiers for Jerone Danuel Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780644401 | NPI | - | NPPES |
| 53379020 | Other | WI | WISCONSIN MEDICAL BOARD |
| 39807 | Other | MN | MINNESOTA BOARD OF MEDICINE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 0101254590 (Virginia) | Secondary |
| 207T00000X | Neurological Surgery | 39807 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centracare Clinic | 2466363395 | 632 |
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. Jerone Danuel Kennedy allows following entities to bill medicare on his behalf.
| Entity Name | Centracare Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
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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. Jerone Danuel 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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Jerone Danuel Kennedy, MD
1200 6th Ave N, Centracare Clinic,
Saint Cloud, MN 56303-2735
Ph: (320) 240-2829 | Jerone Danuel Kennedy, MD
1200 6th Ave N, Centracare Clinic,
Saint Cloud, MN 56303-2735
Ph: (757) 388-6115 |
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