Charles J Kennedy, PHD in Johnstown, PA - Medicare Clinical Psychologist Provider

Charles J Kennedy, PHD is a medicare enrolled "Psychologist - Clinical" provider in Johnstown, Pennsylvania. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Nulton Diagnostic Andtreatment Center, Pc and his current practice location is 214 College Park Plz, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 262-0025.

Charles J Kennedy is licensed to practice in Pennsylvania (license number PS015731) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528260130.

Contact Information

	Charles J Kennedy, PHD
	214 College Park Plz, Johnstown, PA 15904-2833
	(814) 262-0025
	(814) 266-8745

Map and Direction

Healthcare Provider's Profile

Full Name	Charles J Kennedy
Gender	Male
Speciality	Clinical Psychologist
Experience	23 Years
Location	214 College Park Plz, Johnstown, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles J Kennedy graduated from medical school in 2001

NPI Data:

NPI Number: 1528260130
Provider Enumeration Date: 06/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0345259156
Enrollment ID: I20060406000034

Medical Identifiers

Medical identifiers for Charles J Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528260130	NPI	-	NPPES
1796076	Other	PA	HIGHMARK
1014900430001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS015731 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nulton Diagnostic Andtreatment Center, Pc	5294621363	33

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. Charles J Kennedy allows following entities to bill medicare on his behalf.

Entity Name	Nulton Diagnostic &treatment Center, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665

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. Charles J 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
Charles J Kennedy, PHD 214 College Park Plz, Johnstown, PA 15904-2833 Ph: (814) 262-0025	Charles J Kennedy, PHD 214 College Park Plz, Johnstown, PA 15904-2833 Ph: (814) 262-0025

Reviews and Comments

Psychologist in Johnstown, PA

Tammy K Haslett, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 334 Bloomfield St, Suite 204, Johnstown, PA 15904 Phone: 814-266-5238 Fax: 814-266-1762
Philip Patrick Garman, MA. ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-534-0835 Fax: 814-539-8440
Carmella Walker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 131 Market St, Johnstown, PA 15901 Phone: 814-535-2277 Fax: 814-539-0475
Joshua Watt, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 865 Eisenhower Blvd., Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176
Dr. Grant Waldo Croyle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1450 Scalp Ave, Ste 209, Johnstown, PA 15904 Phone: 814-266-3196 Fax: 814-266-6296
Dr. Shannon Maureen Nicoloff, PSY.D., L.P., RPT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 651-894-2916
Dr. Ryan Patrick Dunne, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 320 Main St, 2nd Floor, Johnstown, PA 15901 Phone: 814-534-1095 Fax: 814-534-6145

Charles J Kennedy, PHD - Medicare Psychologist in Johnstown, PA