Dr Kevin R Hannon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Rochester, New York. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Internal Medicine Group and his current practice location is
601 Elmwood Ave # 601g, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 275-2874.
Dr Kevin R Hannon is licensed to practice in * (Not Available) (license number ) 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 1528624012.
Provider's Profile
Full Name | Dr Kevin R Hannon |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 5 Years |
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Location | 601 Elmwood Ave # 601g, Rochester, New York |
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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:
- Dr Kevin R Hannon graduated from nursing school in 2019
NPI Data:
- NPI Number: 1528624012
- Provider Enumeration Date: 05/10/2019
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800122573
- Enrollment ID: I20220615003080
Medical Identifiers
Medical identifiers for Dr Kevin R Hannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528624012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 315304 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Internal Medicine Group | 3476454661 | 154 |
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. Dr Kevin R Hannon allows following entities to bill medicare on his behalf.
Entity Name | Internal Medicine Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649220393 PECOS PAC ID: 3476454661 Enrollment ID: O20040120000491 |
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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. Dr Kevin R Hannon 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 |
Dr Kevin R Hannon, MD 196 Fishermans Cv, Rochester, NY 14626-4859 Ph: (585) 773-9604 | Dr Kevin R Hannon, MD 601 Elmwood Ave # 601g, Rochester, NY 14642-0001 Ph: (585) 275-2874 |
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