Kennedy Medical Group Practice P.c. is a
Surgery based in Cherry Hill, New Jersey. Kennedy Medical Group Practice P.c. is licensed to practice in * (Not Available) (license number ) and their current practice location is
2211 Chapel Avenue West, Suite 301, Cherry Hill, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(856) 665-2017.
NPI number for Kennedy Medical Group Practice P.c. is 1225559495 and their current mailing address is 205 E Laurel Rd, Stratford, New Jersey. Kennedy Medical Group Practice P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225559495.
Healthcare Provider's Profile
| Full Name | Kennedy Medical Group Practice P.c. |
|---|
| Type | Facility |
|---|
| Speciality | Surgery |
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| Location | 2211 Chapel Avenue West, Cherry Hill, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225559495
- Provider Enumeration Date: 06/28/2017
- Last Update Date: 06/28/2017
Medical Identifiers
Medical identifiers for Kennedy Medical Group Practice P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225559495 | NPI | - | NPPES |
| 0411248 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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. Kennedy Medical Group Practice P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kennedy Medical Group Practice P.c.
205 E Laurel Rd,
Stratford, NJ 08084-1301
Ph: () - | Kennedy Medical Group Practice P.c.
2211 Chapel Avenue West, Suite 301,
Cherry Hill, NJ 08002
Ph: (856) 665-2017 |
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