| Andre Johnathan Kennedy, PA | |
|
111 W Hospital Dr, West Columbia, SC 29169-3405 | |
| (803) 796-8515 | |
| (803) 796-8515 |
| Full Name | Andre Johnathan Kennedy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 111 W Hospital Dr, West Columbia, South Carolina |
| 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 |
|---|---|---|---|
| 1962900357 | NPI | - | NPPES |
| 2832 | Other | SC | SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING AND REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2832 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Urology Partners Pllc | 8921280587 | 36 |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Johnathan Kennedy, PA 9735 Kincey Ave Ste 201, Huntersville, NC 28078-9120 Ph: (704) 414-2870 | Andre Johnathan Kennedy, PA 111 W Hospital Dr, West Columbia, SC 29169-3405 Ph: (803) 796-8515 |
Amanda J Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 | |
Mallory Parker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Douglas Todd Vick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Mcswain Dr, West Columbia, SC 29169 Phone: 843-797-3636 | |
Victor A Gomez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 400, West Columbia, SC 29169 Phone: 803-936-7095 Fax: 803-936-7908 | |
Michael Chad Atchley Sr., P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Mcswain Dr, West Columbia, SC 29169 Phone: 843-797-3636 Fax: 843-797-3637 | |
Mrs. Jessica O'neill, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 400, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Laura Ann Rate, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 140&350, West Columbia, SC 29169 Phone: 803-936-7230 Fax: 803-936-8097 |