Mr Justin W Kennedy, OTR/L is a medicare enrolled "Occupational Therapist" provider in Midland, Georgia. His current practice location is
8640 Revere Ct, Midland, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 577-4591.
Mr Justin W Kennedy is licensed to practice in Georgia (license number OT006206) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508316621.
Healthcare Provider's Profile
| Full Name | Mr Justin W Kennedy |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 8640 Revere Ct, Midland, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508316621
- Provider Enumeration Date: 10/12/2016
- Last Update Date: 10/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244577153
- Enrollment ID: I20190131000887
Medical Identifiers
Medical identifiers for Mr Justin W Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508316621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 4032 (Alabama) | Secondary |
| 225X00000X | Occupational Therapist | OT006206 (Georgia) | Primary |
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. Mr Justin W Kennedy allows following entities to bill medicare on his behalf.
| Provider Name | Whole Being Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1396352472
PECOS PAC ID: 7214314996
Enrollment ID: O20220518002013 |
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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 Justin W 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 |
|---|
Mr Justin W Kennedy, OTR/L
8640 Revere Ct,
Midland, GA 31820-4223
Ph: (706) 577-4591 | Mr Justin W Kennedy, OTR/L
8640 Revere Ct,
Midland, GA 31820-4223
Ph: (706) 577-4591 |
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