Dr Keiron Takahria Kennedy, MD - Medicare Diagnostic Radiology in Jbsa Lackland, TX

Dr Keiron Takahria Kennedy, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jbsa Lackland, Texas. He went to University Of South Carolina School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Alliance Pc, Mori Bean And Brooks Inc, Radiology Alliance Pc, Radiology Specialists Ltd Marasso-miller, Mori Bean And Brooks Inc, Virtual Radiologic Professionals Of Texas I, Pa and his current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 292-0510.

Dr Keiron Takahria Kennedy is licensed to practice in Florida (license number ME136646) 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 1740221944.

Contact Information

Dr Keiron Takahria Kennedy, MD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
(210) 292-0510
Not Available

Map and Direction




Physician's Profile

Full NameDr Keiron Takahria Kennedy
GenderMale
SpecialityDiagnostic Radiology
Experience19 Years
Location1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare AssignmentsYes. 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 Keiron Takahria Kennedy attended and graduated from University Of South Carolina School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1740221944
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 08/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931333218
  • Enrollment ID: I20160719000262

Medical Identifiers

Medical identifiers for Dr Keiron Takahria Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740221944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0101259197 (Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology ME136646 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Physicians Regional Medical Center - Pine RidgeNaples, FLHospital
Self Regional HealthcareGreenwood, SCHospital
Hilton Head Regional Medical CenterHilton head island, SCHospital
Coastal Carolina HospitalHardeeville, SCHospital
Allen HospitalWaterloo, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Alliance Pc1850280470204
Mori Bean And Brooks Inc8820077878633
Radiology Alliance Pc1850280470204
Radiology Specialists Ltd Marasso-miller014311087455
Mori Bean And Brooks Inc8820077878633
Virtual Radiologic Professionals Of Texas I, Pa620483876635

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 Keiron Takahria Kennedy allows following entities to bill medicare on his behalf.
Entity NameEllis Bandt Birkin Kollins & Wong Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578584678
PECOS PAC ID: 4486568946
Enrollment ID: O20180301000488
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20180417001440
Entity NameShelin Agrawal And Hyer Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861783961
PECOS PAC ID: 5890955959
Enrollment ID: O20180621002255

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 Keiron Takahria 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 AddressPractice Location Address
Dr Keiron Takahria Kennedy, MD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-0510
Dr Keiron Takahria Kennedy, MD
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-0510

Reviews and Comments


Radiology Doctors in Jbsa Lackland, TX

Christopher James Atkinson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Dr. Anthony Isaac Zarka, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Dr. Kara M Van De Kieft, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Christopher Sardon, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-3859    
Dustin Simpson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Dr. Douglas William Byerly, M.D., PH.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236
Phone: 210-292-6225    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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