Mr Guillermo Vales Kennedy, PA-C - Medicare Physician Assistant in Mount Vernon, WA

Mr Guillermo Vales Kennedy, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Mount Vernon, Washington. His current practice location is 1500 Continental Pl, Mount Vernon, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 424-7041.

Mr Guillermo Vales Kennedy is licensed to practice in Washington (license number PA60912831) 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 1679130322.

Contact Information

Mr Guillermo Vales Kennedy, PA-C
1500 Continental Pl,
Mount Vernon, WA 98273
(360) 424-7041
(360) 424-2418

Map and Direction




Provider's Profile

Full NameMr Guillermo Vales Kennedy
GenderMale
SpecialityPhysician Assistant - Surgical
Location1500 Continental Pl, Mount Vernon, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679130322
  • Provider Enumeration Date: 05/28/2019
  • Last Update Date: 06/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789915075
  • Enrollment ID: I20191017002483

Medical Identifiers

Medical identifiers for Mr Guillermo Vales Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679130322NPI-NPPES
2137460MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363AS0400XPhysician Assistant - Surgical PA60912831 (Washington)Primary

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. Mr Guillermo Vales 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 AddressPractice Location Address
Mr Guillermo Vales Kennedy, PA-C
1401 S Laventure Rd,
Mount Vernon, WA 98274-6033

Ph: (360) 424-7041
Mr Guillermo Vales Kennedy, PA-C
1500 Continental Pl,
Mount Vernon, WA 98273

Ph: (360) 424-7041

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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