Mrs Kennedy Poole Chapman, PA-C is a medicare enrolled "Physician Assistant - Medical" in Ferriday, Louisiana. Her current practice location is
6569 Highway 84, Ferriday, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 757-6559.
Mrs Kennedy Poole Chapman is licensed to practice in Louisiana (license number 324530) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053928622.
Provider's Profile
Full Name | Mrs Kennedy Poole Chapman |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 6569 Highway 84, Ferriday, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053928622
- Provider Enumeration Date: 09/28/2020
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951716729
- Enrollment ID: I20220302002908
Medical Identifiers
Medical identifiers for Mrs Kennedy Poole Chapman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053928622 | NPI | - | NPPES |
2543890 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 324530 (Louisiana) | 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. Mrs Kennedy Poole Chapman 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 |
Mrs Kennedy Poole Chapman, PA-C 6569 Hwy 84, Ferriday, LA 71334-4551 Ph: (318) 757-6559 | Mrs Kennedy Poole Chapman, PA-C 6569 Highway 84, Ferriday, LA 71334-4573 Ph: (318) 757-6559 |
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