Jacqueline Taylor Kenney, OD in Beverly, MA - Medicare Optometrist Provider

Jacqueline Taylor Kenney, OD is a medicare enrolled "Optometrist - Pediatrics" provider in Beverly, Massachusetts. Her current practice location is 77 Herrick St Ste 102, Beverly, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 338-4321.

Jacqueline Taylor Kenney is licensed to practice in Massachusetts (license number OPT5618) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033809884.

Contact Information

	Jacqueline Taylor Kenney, OD
	77 Herrick St Ste 102, Beverly, MA 01915-2734
	(978) 338-4321
	(978) 927-1010

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Taylor Kenney
Gender	Female
Speciality	Optometrist - Pediatrics
Location	77 Herrick St Ste 102, Beverly, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033809884
Provider Enumeration Date: 05/15/2023
Last Update Date: 08/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5193189074
Enrollment ID: I20230911002713

Medical Identifiers

Medical identifiers for Jacqueline Taylor Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033809884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT5618 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
152WP0200X	Optometrist - Pediatrics	OPT5618 (Massachusetts)	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. Jacqueline Taylor Kenney allows following entities to bill medicare on her behalf.

Provider Name	New England Eye Institute Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487607388 PECOS PAC ID: 1850294125 Enrollment ID: O20040202000795

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. Jacqueline Taylor Kenney 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
Jacqueline Taylor Kenney, OD 77 Herrick St Ste 102, Beverly, MA 01915-2734 Ph: (978) 338-4321	Jacqueline Taylor Kenney, OD 77 Herrick St Ste 102, Beverly, MA 01915-2734 Ph: (978) 338-4321

Reviews and Comments

Optometrist in Beverly, MA

Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 495 Cabot St Ste 1, Beverly, MA 01915 Phone: 978-921-5000 Fax: 978-921-5003
Dr. Stacy E Bean, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 40 Enon St, Beverly, MA 01915 Phone: 978-922-7120
Scott Clark, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 491 Rantoul St, Beverly, MA 01915 Phone: 508-922-4732
Dr Scott B Clark Optometrist Optometrist Medicare: Not Enrolled in Medicare Practice Location: 491 Rantoul St, Beverly, MA 01915 Phone: 978-922-4732
Rebecca Bridger, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 40 Enon St, Beverly, MA 01915 Phone: 978-922-7120
Beverly Independent Eye Care, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 495 Cabot St, Unit #1, Beverly, MA 01915 Phone: 978-921-5000 Fax: 978-921-5003

Jacqueline Taylor Kenney, OD - Medicare Optometrist in Beverly, MA