Marie Antoinette Kennedy, in Mishawaka, IN - Medicare Nurse Practitioner

Marie Antoinette Kennedy, is a medicare enrolled "Nurse Practitioner" in Mishawaka, Indiana. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Franciscan Physician Network, Saint Joseph Regional Medical Center Inc and her current practice location is 611 E Douglas Rd Ste 208, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-6000.

Marie Antoinette Kennedy is licensed to practice in Indiana (license number 71007869A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851899140.

Contact Information

	Marie Antoinette Kennedy,
	611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465
	(574) 335-6000
	(574) 335-0738

Map and Direction

Provider's Profile

Full Name	Marie Antoinette Kennedy
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	611 E Douglas Rd Ste 208, Mishawaka, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marie Antoinette Kennedy graduated from nursing school in 2005

NPI Data:

NPI Number: 1851899140
Provider Enumeration Date: 02/01/2018
Last Update Date: 06/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8820351190
Enrollment ID: I20180419000968

Medical Identifiers

Medical identifiers for Marie Antoinette Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851899140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	71007869A (Indiana)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	28143781A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71007869A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Franciscan Physician Network	3072790682	983
Saint Joseph Regional Medical Center Inc	8325950843	101

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. Marie Antoinette Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757

Entity Name	Nadeem U Kamran Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922326370 PECOS PAC ID: 5092831149 Enrollment ID: O20100925000326

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Marie Antoinette 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
Marie Antoinette Kennedy, 707 Cedar St Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8707	Marie Antoinette Kennedy, 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 Ph: (574) 335-6000

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Marie Antoinette Kennedy, - Medicare Nurse Practitioner in Mishawaka, IN