Scott A Kennedy, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Titusville, Pennsylvania. His current practice location is
122 N Franklin St, Titusville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 827-7931.
Scott A Kennedy is licensed to practice in Pennsylvania (license number OEG000659) 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 1922060599.
Healthcare Provider's Profile
| Full Name | Scott A Kennedy |
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| Gender | Male |
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| Speciality | Optometrist - Corneal And Contact Management |
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| Location | 122 N Franklin St, Titusville, Pennsylvania |
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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: 1922060599
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 10/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436248721
- Enrollment ID: I20071210000511
Medical Identifiers
Medical identifiers for Scott A Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922060599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WV0400X | Optometrist - Vision Therapy | OEG000659 (Pennsylvania) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | OEG000659 (Pennsylvania) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OEG000659 (Pennsylvania) | 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. Scott A Kennedy allows following entities to bill medicare on his behalf.
| Provider Name | Vision Source Meadville, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134475007
PECOS PAC ID: 2668609850
Enrollment ID: O20131213001168 |
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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. Scott A 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 |
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Scott A Kennedy, OD
1073 S Main St,
Meadville, PA 16335-3129
Ph: (814) 333-6606 | Scott A Kennedy, OD
122 N Franklin St,
Titusville, PA 16354-1761
Ph: (814) 827-7931 |
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