| Dr John J Kennedy Jr, MD | |
|
1675 Providence Ave, Schenectady, NY 12309 | |
| (518) 377-3439 | |
| (518) 377-0436 |
| Full Name | Dr John J Kennedy Jr |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1675 Providence Ave, Schenectady, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356382378 | NPI | - | NPPES |
| 10001040 | Other | CDPHP | |
| 00747291 | Medicaid | NY | |
| 17108 | Other | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 1390921 (New York) | Primary |
| 207W00000X | Ophthalmology | D0021006 (Maryland) | Secondary |
| Entity Name | Kennedy Ophthalmic Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215150552 PECOS PAC ID: 6002709557 Enrollment ID: O20040206000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John J Kennedy Jr, MD 1675 Providence Ave, Schenectady, NY 12309 Ph: (518) 377-3439 | Dr John J Kennedy Jr, MD 1675 Providence Ave, Schenectady, NY 12309 Ph: (518) 377-3439 |
Franklin B Longo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott Street, Suite 105, Schenectady, NY 12308 Phone: 518-374-0483 Fax: 518-374-0515 | |
Dr. Susan A Kessler-schwartz, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-344-7527 Fax: 518-377-2069 | |
Glenn William Thompson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1675 Providence Ave, Schenectady, NY 12309 Phone: 518-377-3439 Fax: 518-377-0436 | |
Dr. Robert J Kennedy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1675 Providence Avenue, Schenectady, NY 12309 Phone: 518-377-3439 | |
Lynn Eileen Boler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-382-1130 Fax: 518-382-1173 | |
Dr. Philip Andrew Fraterrigo, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Mcclellan St, St. Clare's Medical Arts Building, Schenectady, NY 12304 Phone: 518-382-1130 Fax: 518-382-1173 |