Anthony Braxton Kennedy, CRNP in Dothan, AL - Medicare Nurse Practitioner

Anthony Braxton Kennedy, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. His current practice location is 126 Clinic Dr, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-1881.

Anthony Braxton Kennedy is licensed to practice in Alabama (license number 1-176649) 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 1922790773.

Contact Information

	Anthony Braxton Kennedy, CRNP
	126 Clinic Dr, Dothan, AL 36303-1980
	(334) 793-1881
	(334) 712-1815

Map and Direction

Provider's Profile

Full Name	Anthony Braxton Kennedy
Gender	Male
Speciality	Nurse Practitioner - Family
Location	126 Clinic Dr, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922790773
Provider Enumeration Date: 05/22/2023
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2466815089
Enrollment ID: I20230830002222

Medical Identifiers

Medical identifiers for Anthony Braxton Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922790773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-176649 (Alabama)	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. Anthony Braxton Kennedy allows following entities to bill medicare on his behalf.

Entity Name	Dothan Pediatric Clinic, P. A.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376508788 PECOS PAC ID: 0749245330 Enrollment ID: O20041123000377

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. Anthony Braxton 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
Anthony Braxton Kennedy, CRNP 126 Clinic Dr, Dothan, AL 36303-1980 Ph: (334) 793-1881	Anthony Braxton Kennedy, CRNP 126 Clinic Dr, Dothan, AL 36303-1980 Ph: (334) 793-1881

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Anthony Braxton Kennedy, CRNP - Medicare Nurse Practitioner in Dothan, AL