Dr Lisa Shea Kennedy, MD in Kent, WA - Medicare Family Practice

Dr Lisa Shea Kennedy, MD is a medicare enrolled "Family Medicine" physician in Kent, Washington. She went to Warren Alpert Medical School Of Brown University and graduated in 1983 and has 42 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sentara Medical Group, Healthpoint and her current practice location is 403 E Meeker St Ste 200, Kent, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 852-2866.

Dr Lisa Shea Kennedy is licensed to practice in Washington (license number MD60952683) 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 1578570743.

Contact Information

	Dr Lisa Shea Kennedy, MD
	403 E Meeker St Ste 200, Kent, WA 98030-5904
	(253) 852-2866
	(253) 852-3102

Map and Direction

Physician's Profile

Full Name	Dr Lisa Shea Kennedy
Gender	Female
Speciality	Family Practice
Experience	42 Years
Location	403 E Meeker St Ste 200, Kent, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lisa Shea Kennedy attended and graduated from Warren Alpert Medical School Of Brown University in 1983

NPI Data:

NPI Number: 1578570743
Provider Enumeration Date: 08/01/2006
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7719142876
Enrollment ID: I20120625000032

Medical Identifiers

Medical identifiers for Dr Lisa Shea Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578570743	NPI	-	NPPES
320602	Other	VA	ANTHEM HEALTHKEEPERS #
320601	Other	VA	ANTHEM PROVIDER #
4107755	Other	VA	AETNA PROVIDER #
5624959	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101039112 (Virginia)	Secondary
207Q00000X	Family Medicine	MD60952683 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sentara Medical Group	8921903923	1200
Healthpoint	9335042886	144

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 Lisa Shea Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

Entity Name	Tidewater Physicians Multispecialty Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980

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 Lisa Shea 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 Lisa Shea Kennedy, MD 955 Powell Ave Sw, Renton, WA 98057-2908 Ph: (425) 277-1311	Dr Lisa Shea Kennedy, MD 403 E Meeker St Ste 200, Kent, WA 98030-5904 Ph: (253) 852-2866

Reviews and Comments

Family Medicine Doctors in Kent, WA

Daniela Jordanova Sorokovska, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866
Von Chang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866
Thomas Michael Mccown Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26004 104th Ave Se, Kent, WA 98030 Phone: 800-422-2844 Fax: 877-514-9952
Phuc T Phung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-2000 Fax: 253-395-1946
Matthew Julian Duenas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3420 Fax: 425-690-9420
Dr. Jinny Kim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E Meeker St Ste 200, Kent, WA 98030 Phone: 253-852-2866
Elaine Bolling Roe, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 403 E Meeker St, Ste 200, Kent, WA 98030 Phone: 253-852-2866 Fax: 253-852-3102

Dr Lisa Shea Kennedy, MD - Medicare Family Practice in Kent, WA