| Dr Craig Allen Kennedy, MD | |
|
1530 Bixby Rd, Mounds, OK 74047-5335 | |
| (918) 366-9152 | |
| (918) 366-1170 |
| Full Name | Dr Craig Allen Kennedy |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 47 Years |
| Location | 1530 Bixby Rd, Mounds, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356332555 | NPI | - | NPPES |
| 930085465 | Other | OK | RAILROAD MEDICARE |
| 100790580D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 14981 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Carthage | Carthage, MO | Hospital |
| Hillcrest Medical Center | Tulsa, OK | Hospital |
| Hillcrest Hospital Pryor | Pryor, OK | Hospital |
| Bailey Medical Center, Llc | Owasso, OK | Hospital |
| Hillcrest Hospital Claremore | Claremore, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 79 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 79 |
| Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 79 |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Entity Name | Green Country Emergency Physicians Group Of Tulsa, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972698553 PECOS PAC ID: 0345247052 Enrollment ID: O20061021000024 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Oklahoma Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891039764 PECOS PAC ID: 0345493649 Enrollment ID: O20130118000115 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285064618 PECOS PAC ID: 5395970180 Enrollment ID: O20140416000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig Allen Kennedy, MD 1530 Bixby Rd, Mounds, OK 74047-5335 Ph: (918) 366-9152 | Dr Craig Allen Kennedy, MD 1530 Bixby Rd, Mounds, OK 74047-5335 Ph: (918) 366-9152 |