Mary Eleanor Kennedy, PTA is a
Physical Medicine & Rehabilitation physician based in Okemos, Michigan. Mary Eleanor Kennedy is licensed to practice in Michigan (license number 5502001417) and her current practice location is 5211 Marsh Rd, Okemos, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 319-1400.
NPI number for Mary Eleanor Kennedy is 1891093761 and her current mailing address is 5211 Marsh Rd, Okemos, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891093761.
Physician's Profile
Full Name | Mary Eleanor Kennedy |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 5211 Marsh Rd, Okemos, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891093761
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 11/21/2013
Medical Identifiers
Medical identifiers for Mary Eleanor Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891093761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 5502001417 (Michigan) | 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. Mary Eleanor Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Eleanor Kennedy, PTA 5211 Marsh Rd, Okemos, MI 48864-1106 Ph: () - | Mary Eleanor Kennedy, PTA 5211 Marsh Rd, Okemos, MI 48864-1106 Ph: (517) 319-1400 |
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