Kelli A Kennedy, MD is a medicare enrolled "Pediatrics" physician in Hanover, Massachusetts. Her current practice location is
51 Mill St, Bld E, Suite 17, Hcs-hanover Pediatrics, Hanover, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 826-2131.
Kelli A Kennedy is licensed to practice in Massachusetts (license number 228253) 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 1992739650.
Physician's Profile
Full Name | Kelli A Kennedy |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 51 Mill St, Bld E, Suite 17, Hanover, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992739650
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 04/25/2012
Medicare PECOS Information:
- PECOS PAC ID: 4587664511
- Enrollment ID: I20061222000023
Medical Identifiers
Medical identifiers for Kelli A Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992739650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 228253 (Massachusetts) | 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. Kelli A Kennedy allows following entities to bill medicare on her behalf.
Entity Name | Healthcare South Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396726006 PECOS PAC ID: 0941273262 Enrollment ID: O20040816000712 |
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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. Kelli A 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 |
Kelli A Kennedy, MD 51 Mill St, Bldg. E, #17, Hanover, MA 02339-1641 Ph: (781) 826-2131 | Kelli A Kennedy, MD 51 Mill St, Bld E, Suite 17, Hcs-hanover Pediatrics, Hanover, MA 02339 Ph: (781) 826-2131 |
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