Derek Kennedy, - Medicare Emergency Medicine in Jamestown, NY

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Derek Kennedy, is a medicare enrolled "Emergency Medicine" physician in Jamestown, New York. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Massena Hospital Inc, Emergency Physician Services Of New York, P.c. and his current practice location is 207 Foote Ave, Jamestown, New York. You can reach out to his office (for appointments etc.) via phone at (716) 664-8120.

Derek Kennedy is licensed to practice in New York (license number 292055) 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 1396088571.

Contact Information

Derek Kennedy,
207 Foote Ave,
Jamestown, NY 14701-7077
(716) 664-8120
Not Available

Map and Direction




Physician's Profile

Full NameDerek Kennedy
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location207 Foote Ave, Jamestown, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek Kennedy graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1396088571
  • Provider Enumeration Date: 04/05/2013
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082912670
  • Enrollment ID: I20180726001583

Medical Identifiers

Medical identifiers for Derek Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396088571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 70765 (Arizona)Secondary
207P00000XEmergency Medicine 292055 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Putnam Hospital CenterCarmel, NYHospital
Northern Dutchess HospitalRhinebeck, NYHospital
Massena Hospital IncMassena, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Massena Hospital Inc145678149145
Emergency Physician Services Of New York, P.c.832593980492

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. Derek Kennedy allows following entities to bill medicare on his behalf.
Entity NameEmergency Physician Services Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20040901000528
Entity NameEmergency Physician Services Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20041001000684
Entity NameEmergency Care Services Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639236656
PECOS PAC ID: 3678678646
Enrollment ID: O20070419000474
Entity NameGreat Lakes Physician Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730599176
PECOS PAC ID: 6709007701
Enrollment ID: O20141016000108
Entity NameMassena Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972604460
PECOS PAC ID: 1456781491
Enrollment ID: O20200515000493

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. Derek 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 AddressPractice Location Address
Derek Kennedy,
5950 Bowman Rd,
East Syracuse, NY 13057-9500

Ph: () -		Derek Kennedy,
207 Foote Ave,
Jamestown, NY 14701-7077

Ph: (716) 664-8120

Reviews and Comments


Emergency Medicine Doctors in Jamestown, NY

William Baumgratz,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 Foote Ave, Jamestown, NY 14701
Phone: 716-664-8120    
Zackary Spradlin,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 Foote Ave, Jamestown, NY 14701
Phone: 716-664-8120    
Leonard S Franco, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 Foote Ave, Jamestown, NY 14701
Phone: 716-487-1124    Fax: 716-487-2488
Tanvir M Dara, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15 S Main St Ste 270, Jamestown, NY 14701
Phone: 716-489-3144    Fax: 716-489-3152
Sevak Soukiazian, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 207 Foote Ave, Jamestown, NY 14701
Phone: 716-664-8120    Fax: 716-664-8337
Peter J Reden, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 Foote Ave, Jamestown, NY 14701
Phone: 716-487-0141    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.