Nicholas Lee Kennedy, DO - Medicare Internal Medicine in Greenville, SC

Nicholas Lee Kennedy, DO is a medicare enrolled "Internal Medicine" physician in Greenville, South Carolina. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 1025 Verdae Blvd Ste A, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 242-4683.

Nicholas Lee Kennedy is licensed to practice in South Carolina (license number 40717) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588199335.

Contact Information

Nicholas Lee Kennedy, DO
1025 Verdae Blvd Ste A,
Greenville, SC 29607-4032
(864) 242-4683
(864) 242-8104

Map and Direction




Physician's Profile

Full NameNicholas Lee Kennedy
GenderMale
SpecialityInternal Medicine
Experience7 Years
Location1025 Verdae Blvd Ste A, Greenville, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Lee Kennedy graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1588199335
  • Provider Enumeration Date: 04/28/2017
  • Last Update Date: 06/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365714664
  • Enrollment ID: I20200831000218

Medical Identifiers

Medical identifiers for Nicholas Lee Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588199335NPI-NPPES
407170MedicaidSC
SCI477OtherSCMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 40717 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Greenville Memorial HospitalGreenville, SCHospital
Prisma Health Patewood HospitalGreenville, SCHospital
Prisma Health Hillcrest HospitalSimpsonville, SCHospital
St Francis-downtownGreenville, SCHospital
Prisma Health Greer Memorial HospitalGreer, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832206

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. Nicholas Lee Kennedy allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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. Nicholas Lee 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 AddressPractice Location Address
Nicholas Lee Kennedy, DO
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8614
Nicholas Lee Kennedy, DO
1025 Verdae Blvd Ste A,
Greenville, SC 29607-4032

Ph: (864) 242-4683

Reviews and Comments


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Alan Robert Thompson, MD
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Phone: 864-455-4411    Fax: 864-455-4480

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.