| 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 | 48 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 Hospital Claremore | Claremore, OK | Hospital |
| Hillcrest Medical Center | Tulsa, OK | Hospital |
| Hillcrest Hospital Henryetta | Henryetta, OK | Hospital |
| Hillcrest Hospital Pryor | Pryor, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 107 |
| Creek Nation Hospital And Clinics | 5698786226 | 383 |
| Creek Nation Hospital And Clinics | 5698786226 | 383 |
| Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 107 |
| Green Country Emergency Physicians Group Of Tulsa, Pllc | 0345247052 | 107 |
| Mercy Hospital Carthage | 8426225251 | 25 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20040120000164 |
| Entity Name | Mercy St Francis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20040120000229 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
| Entity Name | Mercy Hospital Lebanon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447284898 PECOS PAC ID: 7214829019 Enrollment ID: O20040907000806 |
| Entity Name | Mercy Hospital Springfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242159 PECOS PAC ID: 7416867593 Enrollment ID: O20050118000038 |
| Entity Name | Mercy St Francis Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023053477 PECOS PAC ID: 7810806643 Enrollment ID: O20061104000139 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20061104000261 |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20100118000033 |
| Entity Name | Mercy Hospital Carthage |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20120225000071 |
| Entity Name | Mercy Hospital Carthage |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20141203001963 |
| 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: O20230912001823 |
| 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 |