Jerone Danuel Kennedy, MD is a medicare enrolled "Neurological Surgery" physician in Saint Cloud, Minnesota. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1780644401
- Provider Enumeration Date: 03/25/2006
- Last Update Date: 03/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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