John Wayne Kennedy, MD | |
1614 N Baldwin Ave, Marion, IN 46952-1437 | |
(765) 664-9000 | |
(765) 391-1521 |
Full Name | John Wayne Kennedy |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1614 N Baldwin Ave, Marion, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780665448 | NPI | - | NPPES |
000000576122 | Other | IN | BCBS |
000000697935 | Other | IN | BCBS |
100123680 | Medicaid | IN | |
000000286588 | Other | IN | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01022780 (Indiana) | Secondary |
208D00000X | General Practice | 01022780A (Indiana) | Primary |
Entity Name | Marion Occupational Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225332315 PECOS PAC ID: 5698957181 Enrollment ID: O20110304000020 |
Entity Name | With Dignity Too Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457906141 PECOS PAC ID: 3072840438 Enrollment ID: O20190807002074 |
Mailing Address | Practice Location Address |
---|---|
John Wayne Kennedy, MD 1614 N Baldwin Ave, Marion, IN 46952-1437 Ph: (765) 664-9000 | John Wayne Kennedy, MD 1614 N Baldwin Ave, Marion, IN 46952-1437 Ph: (765) 664-9000 |
Henry S Gindt, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1136 N Baldwin Ave, Marion, IN 46952 Phone: 765-660-7440 Fax: 765-662-4715 | |
Dr. Marianne D. Curtis, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2400 W 2nd St, Marion, IN 46952 Phone: 765-668-2160 Fax: 765-668-2246 |