Dr Jasiri Kennedy, MD in Rockport, TX - Medicare Emergency Medicine

Dr Jasiri Kennedy, MD is a medicare enrolled "Emergency Medicine" physician in Rockport, Texas. He went to University Of California, Davis School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southern Inyo Healthcare District, Fairfield Memorial Hospital Association and his current practice location is 1325 Broadway St, Rockport, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 729-0646.

Dr Jasiri Kennedy is licensed to practice in California (license number A81294) 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 1972583185.

Contact Information

	Dr Jasiri Kennedy, MD
	1325 Broadway St, Rockport, TX 78382-3333
	(361) 729-0646
	(361) 729-8854

Map and Direction

Physician's Profile

Full Name	Dr Jasiri Kennedy
Gender	Male
Speciality	Emergency Medicine
Experience	29 Years
Location	1325 Broadway St, Rockport, Texas
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:

Dr Jasiri Kennedy attended and graduated from University Of California, Davis School Of Medicine in 1996

NPI Data:

NPI Number: 1972583185
Provider Enumeration Date: 01/23/2006
Last Update Date: 12/19/2008

Medicare PECOS Information:

PECOS PAC ID: 2264417708
Enrollment ID: I20050705000896

Medical Identifiers

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

Identifier	Type	State	Issuer
1972583185	NPI	-	NPPES
036098701	Medicaid	IL
00A812940	Medicaid	CA
3932056	Other	IL	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	L4016 (Texas)	Secondary
207Q00000X	Family Medicine	L4016 (Texas)	Secondary
207P00000X	Emergency Medicine	A81294 (California)	Primary
207P00000X	Emergency Medicine	036-098701 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairfield Memorial Hospital 1	Fairfield, IL	Hospital
Mark Twain Medical Center	San andreas, CA	Hospital
Southern Inyo Hospital	Lone pine, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Inyo Healthcare District	7911816731	21
Fairfield Memorial Hospital Association	5698671741	35

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 Jasiri Kennedy allows following entities to bill medicare on his behalf.

Entity Name	Southern Inyo Healthcare District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831128602 PECOS PAC ID: 7911816731 Enrollment ID: O20040317000188

Entity Name	Team Physicians Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880

Entity Name	Altamont Emergency Physicians Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952392375 PECOS PAC ID: 5496700759 Enrollment ID: O20050318000840

Entity Name	Clinic Services Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394

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 Jasiri 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 Jasiri Kennedy, MD 1325 Broadway St, Rockport, TX 78382-3333 Ph: (361) 729-0646	Dr Jasiri Kennedy, MD 1325 Broadway St, Rockport, TX 78382-3333 Ph: (361) 729-0646

Reviews and Comments

Emergency Medicine Doctors in Rockport, TX

Alexander Milian, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 638 E Market St, Rockport, TX 78382 Phone: 512-321-8762
Dr. Karl Kietzke, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1325 Broadway St, Rockport, TX 78382 Phone: 361-729-0646 Fax: 361-729-8854
Dr. Ernest Carson Alsop, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2621 Hwy 35 N, Rockport, TX 78382 Phone: 361-729-3939 Fax: 361-729-1782
Dr. Erlinda Devera, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 638 East Market Street, Rockport, TX 78382 Phone: 361-729-0646 Fax: 361-729-8854
Dr. Anelia Petkova, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1325 Broadway St, Rockport, TX 78382 Phone: 361-729-0646 Fax: 361-729-8854
Dr. Nick Giannone, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1325 Broadway St, Rockport, TX 78382 Phone: 361-729-0646 Fax: 361-729-8854
Dr. Thomas Annett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1325 Broadway St, Rockport, TX 78382 Phone: 361-729-0646 Fax: 361-729-8854

Dr Jasiri Kennedy, MD - Medicare Emergency Medicine in Rockport, TX