Mr Michael Arthur Kennedy, PA-C is a
Physician Assistant - Medical based in Pottsboro, Texas. Mr Michael Arthur Kennedy is licensed to practice in Texas (license number PA04828) and his current practice location is
111 E Hwy 120, Ste. 104, Pottsboro, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 786-3911.
NPI number for Mr Michael Arthur Kennedy is 1245391473 and his current mailing address is 1038 Addison Ave, Pottsboro, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245391473.
Provider's Profile
| Full Name | Mr Michael Arthur Kennedy |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 111 E Hwy 120, Pottsboro, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245391473
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 02/19/2009
Medical Identifiers
Medical identifiers for Mr Michael Arthur Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245391473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA04828 (Texas) | 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 Michael Arthur 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 Michael Arthur Kennedy, PA-C
1038 Addison Ave,
Pottsboro, TX 75076-7077
Ph: (903) 786-8916 | Mr Michael Arthur Kennedy, PA-C
111 E Hwy 120, Ste. 104,
Pottsboro, TX 75076-3008
Ph: (903) 786-3911 |
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