Derek Kennedy, in Jamestown, NY - Medicare Emergency Medicine

Derek Kennedy, is a medicare enrolled "Emergency Medicine" physician in Jamestown, New York. He went to Yale University School Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Group Of Arizona Professional Corporation, 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 Name	Derek Kennedy
Gender	Male
Speciality	Emergency Medicine
Experience	13 Years
Location	207 Foote Ave, Jamestown, New York
Accepts Medicare Assignments	Yes. 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 attended and graduated from Yale University School Of Medicine 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: I20231021000121

Medical Identifiers

Medical identifiers for Derek Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396088571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	70765 (Arizona)	Secondary
207P00000X	Emergency Medicine	292055 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Dutchess Hospital	Rhinebeck, NY	Hospital
Putnam Hospital Center	Carmel, NY	Hospital
Abrazo Central Campus	Phoenix, AZ	Hospital
St Peter's Hospital	Albany, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Group Of Arizona Professional Corporation	1355596644	98
Emergency Physician Services Of New York, P.c.	8325939804	129

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 Name	Emergency Group Of Arizona Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442

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 Address	Practice 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: Medicare Enrolled Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-1124 Fax: 716-487-2488
Tanvir M Dara, MD Emergency Medicine Medicare: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-664-8120 Fax: 716-664-8337
Dr. Ryan Knopper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-664-8120

Derek Kennedy, - Medicare Emergency Medicine in Jamestown, NY