| Dr Jeremy Scott Kennedy, DO | |
|
611 Watkins Centre Pkwy Ste 350, Midlothian, VA 23114-4404 | |
| (804) 464-8644 | |
| (804) 464-8508 |
| Full Name | Dr Jeremy Scott Kennedy |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 3 Years |
| Location | 611 Watkins Centre Pkwy Ste 350, Midlothian, Virginia |
| 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 |
|---|---|---|---|
| 1528022779 | NPI | - | NPPES |
| 9558781 | Other | AZ | AETNA |
| 4Z8735 | Other | HEALTH NET | |
| 707257 | Other | AZ | AHCCCS |
| P01043135 | Other | AZ | RAILROAD MEDICARE |
| 1528022779 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 707257 | Medicaid | AZ | |
| 3437670 | Other | AZ | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 0102209089 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Skin Specialists Llc | 9739079864 | 46 |
| Derm Associates Llc | 4688653306 | 40 |
| Entity Name | Southwest Skin Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174521926 PECOS PAC ID: 9739079864 Enrollment ID: O20040319001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Scott Kennedy, DO 611 Watkins Centre Pkwy Ste 350, Midlothian, VA 23114-4404 Ph: (804) 464-8644 | Dr Jeremy Scott Kennedy, DO 611 Watkins Centre Pkwy Ste 350, Midlothian, VA 23114-4404 Ph: (804) 464-8644 |
Dr. Laura Elizabeth Regan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1316 Alverser Plz, Midlothian, VA 23113 Phone: 804-379-0116 Fax: 804-379-1088 | |
B Thomas Reams, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1507 Huguenot Road, Suite 200, Midlothian, VA 23113 Phone: 804-794-3140 Fax: 804-378-5457 | |
Dr. Josephine S Bohannon, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2306 Robious Station Circle, Midlothian, VA 23113 Phone: 804-378-3048 Fax: 804-379-5167 | |
Ms. Stacy C Romero, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2306 Robious Station Circle, Midlothian, VA 23113 Phone: 804-378-3048 Fax: 804-378-3264 | |
Dr. Erin Gilbert Adams, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2306 Robious Station Cir Ste A, Midlothian, VA 23113 Phone: 804-378-3048 Fax: 804-379-5617 |