Mr Michael Dee Kennedy, ARNP | |
3120 Southride Lane, Bonifay, FL 32425 | |
(850) 547-4440 | |
(850) 547-4441 |
Full Name | Mr Michael Dee Kennedy |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 3120 Southride Lane, Bonifay, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235386004 | NPI | - | NPPES |
ARNP9206905 | Other | FL | FL LICENSE |
000636200 | Medicaid | FL | |
Y129U | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | ARNP9206905 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Doctors Memorial Hospital | Bonifay, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Florida Healthcare, Inc. | 2668363771 | 32 |
Holmes County Hospital Corp | 3375557887 | 16 |
Entity Name | Northwest Florida Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336163708 PECOS PAC ID: 2668363771 Enrollment ID: O20050627000512 |
Entity Name | Holmes County Hospital Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366431702 PECOS PAC ID: 3375557887 Enrollment ID: O20101122001377 |
Entity Name | Hawkins Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952680464 PECOS PAC ID: 8729259817 Enrollment ID: O20110921000571 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Dee Kennedy, ARNP 1360 Brickyard Rd, Chipley, FL 32428-6303 Ph: (850) 638-1610 | Mr Michael Dee Kennedy, ARNP 3120 Southride Lane, Bonifay, FL 32425 Ph: (850) 547-4440 |
Deborah Levens Powell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2569 Breezy Ln, Bonifay, FL 32425 Phone: 850-373-6515 | |
Candace Victoria Donaldson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3489 Highway 162, Bonifay, FL 32425 Phone: 850-373-8588 | |
Mrs. Jessica Register Ludwig, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3120 Southride Lane, Bonifay, FL 32425 Phone: 850-547-4440 | |
Mr. Kevin Michael Rollins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3142 Thomas Dr, Bonifay, FL 32425 Phone: 850-547-8860 | |
Mrs. Kayla Renae Sherrouse, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 495 Saint Johns Rd, Bonifay, FL 32425 Phone: 850-547-5547 | |
Paula Denise Stanley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 E Highway 90, Bonifay, FL 32425 Phone: 850-547-4284 |