Dr Joseph James Kavanagh, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ocean Ridge, Florida. His current practice location is
21 Coconut Ln, Ocean Ridge, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 331-9580.
Dr Joseph James Kavanagh is licensed to practice in Florida (license number 414164) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275614612.
Physician's Profile
| Full Name | Dr Joseph James Kavanagh |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 21 Coconut Ln, Ocean Ridge, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275614612
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 08/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698857829
- Enrollment ID: I20130419000051
Medical Identifiers
Medical identifiers for Dr Joseph James Kavanagh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275614612 | NPI | - | NPPES |
| 200111561 | Medicaid | MO | |
| 30004827960001 | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 042-0011291 (Vermont) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 04-33259 (Kansas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 414164 (Florida) | Primary |
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 Joseph James Kavanagh allows following entities to bill medicare on his behalf.
| Entity Name | Howard Simon Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659930998
PECOS PAC ID: 7214369966
Enrollment ID: O20200316001321 |
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| Entity Name | Kansas University Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689710519
PECOS PAC ID: 8921911587
Enrollment ID: O20220921003949 |
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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 Joseph James Kavanagh 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 Joseph James Kavanagh, MD
21 Coconut Ln,
Ocean Ridge, FL 33435-5202
Ph: (305) 331-9580 | Dr Joseph James Kavanagh, MD
21 Coconut Ln,
Ocean Ridge, FL 33435-5202
Ph: (305) 331-9580 |
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