Mark Allen Kennedy, | |
2351 G Rd, Grand Junction, CO 81505-9641 | |
(512) 413-9888 | |
Not Available |
Full Name | Mark Allen Kennedy |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2351 G Rd, Grand Junction, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245790948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DR.0067444 (Colorado) | Primary |
Entity Name | Colorado West Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497723407 PECOS PAC ID: 3971491887 Enrollment ID: O20040310000712 |
Mailing Address | Practice Location Address |
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Mark Allen Kennedy, 122 Benchmark St, Georgetown, TX 78626-4530 Ph: (512) 413-9888 | Mark Allen Kennedy, 2351 G Rd, Grand Junction, CO 81505-9641 Ph: (512) 413-9888 |
Dr. Ellen Ablog Dy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Wellington Ave, Grand Junction, CO 81501 Phone: 970-242-6600 Fax: 970-241-8443 | |
James W Thompson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Wellington Ave, Grand Junction, CO 81501 Phone: 970-298-5864 Fax: 970-298-5888 | |
Gary Lee Snyder, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 425 Patterson Rd, Ste 605, Grand Junction, CO 81506 Phone: 970-244-2482 Fax: 970-255-1701 | |
Dr. Brent James Prosser, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Wellington Ave, Grand Junction, CO 81501 Phone: 970-242-6600 Fax: 970-241-8443 | |
Dr. David Russell Scott, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1120 Wellington Ave, Grand Junction, CO 81501 Phone: 970-241-0170 | |
Mitchell Gershten, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2635 N 7th St, Suite 4205, Grand Junction, CO 81501 Phone: 970-298-1995 Fax: 970-298-1992 | |
David Johansen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 28 1/4 Rd, Grand Junction, CO 81506 Phone: 970-243-3300 Fax: 970-243-4464 |