Mr Eric Alan Kennedy, PA-C is a
Physician Assistant based in Mattawan, Michigan. Mr Eric Alan Kennedy is licensed to practice in Michigan (license number 5601002670) and his current practice location is
52375 N Main St, Mattawan, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 668-3348.
NPI number for Mr Eric Alan Kennedy is 1841288701 and his current mailing address is 601 John St, Box 42, Kalamazoo, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841288701.
Provider's Profile
Full Name | Mr Eric Alan Kennedy |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 52375 N Main St, Mattawan, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841288701
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 01/11/2013
Medical Identifiers
Medical identifiers for Mr Eric Alan Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841288701 | NPI | - | NPPES |
1841288701 | Medicaid | MI | |
700H060020 | Other | MI | BCBSM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601002670 (Michigan) | 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 Eric Alan Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Eric Alan Kennedy, PA-C 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 341-7806 | Mr Eric Alan Kennedy, PA-C 52375 N Main St, Mattawan, MI 49071-9332 Ph: (269) 668-3348 |
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