Blake Austin Kennedy, FNP-C in Jackson, MS - Medicare Nurse Practitioner

Blake Austin Kennedy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mississippi Sports Medicine And Orthopaedic Center and his current practice location is 1325 E Fortification St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 354-4488.

Blake Austin Kennedy is licensed to practice in Mississippi (license number 904722) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427715937.

Contact Information

	Blake Austin Kennedy, FNP-C
	1325 E Fortification St, Jackson, MS 39202-2442
	(601) 354-4488
	(601) 914-1779

Map and Direction

Provider's Profile

Full Name	Blake Austin Kennedy
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	1325 E Fortification St, Jackson, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blake Austin Kennedy graduated from nursing school in 2021

NPI Data:

NPI Number: 1427715937
Provider Enumeration Date: 11/18/2021
Last Update Date: 07/08/2022

Medicare PECOS Information:

PECOS PAC ID: 4385038983
Enrollment ID: I20220224001710

Medical Identifiers

Medical identifiers for Blake Austin Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427715937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904722 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home -flowood	Flowood, MS	Home health agency
Merit Health River Oaks	Flowood, MS	Hospital
King's Daughters Medical Center-brookhaven	Brookhaven, MS	Hospital
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mississippi Sports Medicine And Orthopaedic Center	4981685310	64

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. Blake Austin Kennedy allows following entities to bill medicare on his behalf.

Entity Name	Mississippi Sports Medicine & Orthopaedic Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568415560 PECOS PAC ID: 4981685310 Enrollment ID: O20040601000238

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. Blake Austin 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
Blake Austin Kennedy, FNP-C 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 354-4488	Blake Austin Kennedy, FNP-C 1325 E Fortification St, Jackson, MS 39202-2442 Ph: (601) 354-4488

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Blake Austin Kennedy, FNP-C - Medicare Nurse Practitioner in Jackson, MS