Kyle Kennedy, DPT is a medicare enrolled "Clinic/center - Physical Therapy" provider in Rock Hill, South Carolina. His current practice location is
226 Northpark Dr, Rock Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 327-8874.
Kyle Kennedy is licensed to practice in South Carolina (license number 8542) 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 1750794806.
Healthcare Provider's Profile
| Full Name | Kyle Kennedy |
|---|
| Gender | Male |
|---|
| Speciality | Clinic/center - Physical Therapy |
|---|
| Location | 226 Northpark Dr, Rock Hill, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1750794806
- Provider Enumeration Date: 06/06/2014
- Last Update Date: 11/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284854464
- Enrollment ID: I20210219001265
Medical Identifiers
Medical identifiers for Kyle Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750794806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 037720 (New York) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 8542 (South Carolina) | 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. Kyle Kennedy allows following entities to bill medicare on his behalf.
| Provider Name | Phoenix Rehabilitation And Health Services Of South Carolina Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1457836835
PECOS PAC ID: 3173868924
Enrollment ID: O20190419000298 |
|---|
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. Kyle 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 |
|---|
Kyle Kennedy, DPT
214 Butterfly Pl,
Fort Mill, SC 29708-0138
Ph: (845) 926-8733 | Kyle Kennedy, DPT
226 Northpark Dr,
Rock Hill, SC 29730-4292
Ph: (803) 327-8874 |
Reviews and Comments