Dr Lina Jacklyn Kennedy, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Corona Del Mar, California. She went to Howard University College Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Dermatology. Her current practice location is
2121 E Coast Hwy Ste 280, Corona Del Mar, California. You can reach out to her office (for appointments etc.) via phone at
(949) 688-1288.
Dr Lina Jacklyn Kennedy is licensed to practice in California (license number A141381) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467719260.
Physician's Profile
| Full Name | Dr Lina Jacklyn Kennedy |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 14 Years |
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| Location | 2121 E Coast Hwy Ste 280, Corona Del Mar, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lina Jacklyn Kennedy attended and graduated from Howard University College Of Medicine in 2012
NPI Data:
- NPI Number: 1467719260
- Provider Enumeration Date: 04/18/2012
- Last Update Date: 09/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072894245
- Enrollment ID: I20161229001804
Medical Identifiers
Medical identifiers for Dr Lina Jacklyn Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467719260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NS0135X | Dermatology - Procedural Dermatology | A141381 (California) | 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 Lina Jacklyn Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Grace Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467231811
PECOS PAC ID: 7911343793
Enrollment ID: O20240314004263 |
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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 Lina Jacklyn 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 |
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Dr Lina Jacklyn Kennedy, MD
2121 E Coast Hwy Ste 280,
Corona Del Mar, CA 92625-1940
Ph: (949) 688-1288 | Dr Lina Jacklyn Kennedy, MD
2121 E Coast Hwy Ste 280,
Corona Del Mar, CA 92625-1940
Ph: (949) 688-1288 |
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