Dr Elaine Kennedy, MD in Tahlequah, OK

Dr Elaine Kennedy, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Tahlequah, Oklahoma. Her current practice location is 100 S Bliss Ave, Pediatrics Clinic, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 458-3120.

Dr Elaine Kennedy is licensed to practice in Georgia (license number 044765) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083634935.

Contact Information

	Dr Elaine Kennedy, MD
	100 S Bliss Ave, Pediatrics Clinic, Tahlequah, OK 74464-2512
	(918) 458-3120
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Elaine Kennedy
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083634935
Provider Enumeration Date: 07/20/2006
Last Update Date: 01/06/2011

Medicare PECOS Information:

PECOS PAC ID: 2365474665
Enrollment ID: I20050907001257

Medical Identifiers

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

Identifier	Type	State	Issuer
1083634935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	22124 (West Virginia)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	34616 (Kentucky)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	21310 (South Carolina)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	044765 (Georgia)	Primary
2080A0000X	Pediatrics - Adolescent Medicine	00022200 (Alabama)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	MD0000010129 (Tennessee)	Secondary

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. Dr Elaine Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Dr Elaine 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
Dr Elaine Kennedy, MD 1390 Heritage Ln, Pleasant View Apts # 92, Tahlequah, OK 74464-2136 Ph: () -	Dr Elaine Kennedy, MD 100 S Bliss Ave, Pediatrics Clinic, Tahlequah, OK 74464-2512 Ph: (918) 458-3120

Reviews and Comments

Pediatrics Doctors in Tahlequah, OK

Dr. Gary Lynn Gaston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700
Dr. Kimberly Ann Milford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Downing St Ste 102, Tahlequah, OK 74464 Phone: 918-207-0773 Fax: 918-207-0774
Angel Javier Morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3279
Edward Ernest Gustavson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 Fax: 918-458-9314
Mrs. Kailey Madison Haley, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000
Yahya Ahmad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1294 E Downing Ste 3 & 4, Tahlequah, OK 74464 Phone: 918-207-0773 Fax: 918-207-0774

Dr Elaine Kennedy, MD - Medicare Pediatrics in Tahlequah, OK