Russell L Kennedy, DO | |
6151 N Main Street Rd, Webb City, MO 64870-8189 | |
(417) 781-0408 | |
(417) 556-5377 |
Full Name | Russell L Kennedy |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 6151 N Main Street Rd, Webb City, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316985989 | NPI | - | NPPES |
P00800220 | Other | MO | RAIL ROAD MEDICARE |
200307600C | Medicaid | MO | |
200049470A | Medicaid | MO | |
1316985989 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2001014928 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Integrity Home Care + Hospice | Springfield, MO | Home health agency |
Phoenix Home Care | Springfield, MO | Home health agency |
Mercy Hospital Joplin | Joplin, MO | Hospital |
Mercy Hospital Carthage | Carthage, MO | Hospital |
Freeman Health System - Freeman West | Joplin, MO | Hospital |
Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Joplin Llc | 0547300196 | 240 |
Entity Name | Mercy Clinic Joplin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
Mailing Address | Practice Location Address |
---|---|
Russell L Kennedy, DO 6151 N Main Street Rd, Webb City, MO 64870-8189 Ph: (417) 781-0408 | Russell L Kennedy, DO 6151 N Main Street Rd, Webb City, MO 64870-8189 Ph: (417) 781-0408 |
Ms. Tracy Alaine Godfrey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6151 N Main Street Rd, Webb City, MO 64870 Phone: 417-781-0408 Fax: 417-556-5377 | |
Dr. Justin Keith Hamlin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 W Daugherty St, Webb City, MO 64870 Phone: 417-717-2017 Fax: 417-717-2134 | |
Glen W. King, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 N Main Street Rd, Webb City, MO 64870 Phone: 417-781-0408 Fax: 417-556-5377 | |
Mary L. Kennedy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 N Main Street Rd, Webb City, MO 64870 Phone: 417-781-0408 Fax: 417-556-5377 |