Kennedy Iheanacho, MD in Goshen, IN - Medicare Internal Medicine

Kennedy Iheanacho, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Goshen, Indiana. His current practice location is 200 High Park Ave, Goshen, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 364-2888.

Kennedy Iheanacho is licensed to practice in Louisiana (license number 335569) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174056329.

Contact Information

	Kennedy Iheanacho, MD
	200 High Park Ave, Goshen, IN 46526-4810
	(574) 364-2888
	(574) 364-2590

Map and Direction

Physician's Profile

Full Name	Kennedy Iheanacho
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	200 High Park Ave, Goshen, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174056329
Provider Enumeration Date: 04/05/2017
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9032583331
Enrollment ID: I20230816002688

Medical Identifiers

Medical identifiers for Kennedy Iheanacho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174056329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	335569 (Louisiana)	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. Kennedy Iheanacho allows following entities to bill medicare on his behalf.

Entity Name	Goshen Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658

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. Kennedy Iheanacho 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
Kennedy Iheanacho, MD 200 High Park Ave, Goshen, IN 46526-4810 Ph: (574) 364-2888	Kennedy Iheanacho, MD 200 High Park Ave, Goshen, IN 46526-4810 Ph: (574) 364-2888

Reviews and Comments

Internal Medicine Doctors in Goshen, IN

Archana Patel, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Ste B, Goshen, IN 46526 Phone: 574-537-1625 Fax: 574-537-9384
Dr. Milton E Gibson, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1920 Whispering Pines Ct, Goshen, IN 46526 Phone: 574-286-0491 Fax: 574-291-8797
Dr. Salim A Jaffer, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1615 Winsted Dr Ste 2, Goshen, IN 46526 Phone: 574-537-1625
Dr. David C Kay, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2024 Dorchester Ct, Suite 2, Goshen, IN 46526 Phone: 574-537-1626 Fax: 574-364-2939
Dr. Farid Jalinous, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1855 S Main St Ste A, Goshen, IN 46526 Phone: 574-533-7476
Dr. Djavid Hadian, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1855 S Main St Ste A, Goshen, IN 46526 Phone: 574-533-7476 Fax: 574-533-7145
Dr. Ebenezer Kio, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 Fax: 574-364-2480

Kennedy Iheanacho, MD - Medicare Internal Medicine in Goshen, IN