Dr Cassandra Ann Kennedy, MD is a medicare enrolled "Surgery" physician in Fortuna, California. She went to Chicago College Of Medicine And Surgery and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Providence Medical Foundation and her current practice location is
3300 Renner Dr, Fortuna, California. You can reach out to her office (for appointments etc.) via phone at
(707) 725-9832.
Dr Cassandra Ann Kennedy is licensed to practice in California (license number G79397) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275550840.
Physician's Profile
| Full Name | Dr Cassandra Ann Kennedy |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 32 Years |
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| Location | 3300 Renner Dr, Fortuna, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cassandra Ann Kennedy attended and graduated from Chicago College Of Medicine And Surgery in 1992
NPI Data:
- NPI Number: 1275550840
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 11/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729021258
- Enrollment ID: I20050606001198
Medical Identifiers
Medical identifiers for Dr Cassandra Ann Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275550840 | NPI | - | NPPES |
| 00G793970 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | G79397 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Medical Foundation | 8921993205 | 1293 |
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. Dr Cassandra Ann Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Providence Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
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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. Dr Cassandra Ann 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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Dr Cassandra Ann Kennedy, MD
3300 Renner Dr,
Fortuna, CA 95540-3120
Ph: (707) 725-9832 | Dr Cassandra Ann Kennedy, MD
3300 Renner Dr,
Fortuna, CA 95540-3120
Ph: (707) 725-9832 |
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