Richard D Kennedy, MD is a
Family Medicine physician based in Hebron, Ohio. Richard D Kennedy is licensed to practice in Ohio (license number 35.089392) and his current practice location is 96 Integrity Dr Ste H, Hebron, Ohio. He can be reached at his office (for appointments etc.) via phone at
(220) 564-2100.
NPI number for Richard D Kennedy is 1578689493 and his current mailing address is 96 Integrity Dr Ste H, Hebron, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578689493.
Physician's Profile
| Full Name | Richard D Kennedy |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 96 Integrity Dr Ste H, Hebron, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578689493
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 05/11/2018
Medical Identifiers
Medical identifiers for Richard D Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578689493 | NPI | - | NPPES |
| 000000474321 | Other | OH | OHIO MEDICAID UNISON |
| 2728632 | Other | OH | OH MEDICAID MOLINA |
| 2728632 | Medicaid | OH | |
| 310917085274 | Other | OH | OH MEDICAID CARESOURCE |
| 3810022215 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 35.089392 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 35.089392 (Ohio) | 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. Richard D 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 |
|---|
Richard D Kennedy, MD
96 Integrity Dr Ste H,
Hebron, OH 43025-7013
Ph: (220) 564-2100 | Richard D Kennedy, MD
96 Integrity Dr Ste H,
Hebron, OH 43025-7013
Ph: (220) 564-2100 |
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