Dr Katherine Chesney Kennedy, MD in Boulder, CO

Dr Katherine Chesney Kennedy, MD is a medicare enrolled "Pediatrics" physician in Boulder, Colorado. Her current practice location is 4745 Arapahoe Ave Ste 200, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 440-3000.

Dr Katherine Chesney Kennedy is licensed to practice in Colorado (license number DR.0060344) 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 1376743856.

Contact Information

	Dr Katherine Chesney Kennedy, MD
	4745 Arapahoe Ave Ste 200, Boulder, CO 80303-1082
	(303) 440-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Katherine Chesney Kennedy
Gender	Female
Speciality	Pediatrics
Location	4745 Arapahoe Ave Ste 200, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376743856
Provider Enumeration Date: 07/23/2007
Last Update Date: 07/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1153519236
Enrollment ID: I20101216000731

Medical Identifiers

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

Identifier	Type	State	Issuer
1376743856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	DR.0060344 (Colorado)	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 Katherine Chesney Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Katherine Chesney 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 Katherine Chesney Kennedy, MD 2750 Broadway St, Boulder, CO 80304-3586 Ph: (303) 440-3000	Dr Katherine Chesney Kennedy, MD 4745 Arapahoe Ave Ste 200, Boulder, CO 80303-1082 Ph: (303) 440-3000

Reviews and Comments

Pediatrics Doctors in Boulder, CO

Dr. Emily F Warm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-338-4545
Debra Greenstein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7242 Clubhouse Rd, Boulder, CO 80301 Phone: 917-603-4518
Dr. Ming-yi Ryn W Kreidl, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-338-4545
Margaret Lafferty-oza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303 Phone: 303-938-4750 Fax: 303-938-4753
Matthew Battel Spear, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2124 Mead Dr, Boulder, CO 80301 Phone: 847-644-2392
Dr. Dina Brudenell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303 Phone: 303-442-2913 Fax: 303-444-6198
Dr. Alison Spatz Levine, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 950 Laramie Blvd Unit D, Boulder, CO 80304 Phone: 303-747-4907

Dr Katherine Chesney Kennedy, MD - Medicare Pediatrics in Boulder, CO