Timothy J Kennedy, MD in Green Bay, WI

Timothy J Kennedy, MD is a medicare enrolled "Urology" physician in Green Bay, Wisconsin. His current practice location is 2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8280.

Timothy J Kennedy is licensed to practice in Wisconsin (license number 29987) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417985631.

Contact Information

	Timothy J Kennedy, MD
	2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519
	(920) 288-8280
	(920) 288-8285

Map and Direction

Physician's Profile

Full Name	Timothy J Kennedy
Gender	Male
Speciality	Urology
Location	2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417985631
Provider Enumeration Date: 06/28/2006
Last Update Date: 06/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4789596974
Enrollment ID: I20060302000418

Medical Identifiers

Medical identifiers for Timothy J Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417985631	NPI	-	NPPES
3402100592	Other	MI	BCBS
104386126	Medicaid	MI
31501900	Medicaid	WI
340015995	Other	WI	RAILROAD
104386153	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	29987 (Wisconsin)	Primary

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. Timothy J Kennedy allows following entities to bill medicare on his behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

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. Timothy J 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 Address	Practice Location Address
Timothy J Kennedy, MD 2034 Shady Ln, Green Bay, WI 54313-9313 Ph: (920) 621-1785	Timothy J Kennedy, MD 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 Ph: (920) 288-8280

Reviews and Comments

Urology Doctors in Green Bay, WI

Heather M Stefaniak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285
Richard Windsor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Suite 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285
Dr. Hamayun Saeed Mian, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 301, Green Bay, WI 54301 Phone: 920-433-9400 Fax: 920-433-9409
Bruce M Neal, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285
Dr. Vannhu Nguyen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285
Bahareh Nicole Alavi-dunn, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-436-1359

Timothy J Kennedy, MD - Medicare Urology in Green Bay, WI