Dr Nicole A Kennedy, MD - Medicare Surgery in West Bloomfield, MI

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Dr Nicole A Kennedy, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in West Bloomfield, Michigan. Her current practice location is 6777 W Maple Rd, Department Of Vascular Surgery, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 325-3087.

Dr Nicole A Kennedy is licensed to practice in Michigan (license number 4301081948) 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 1679782395.

Contact Information

Dr Nicole A Kennedy, MD
6777 W Maple Rd, Department Of Vascular Surgery,
West Bloomfield, MI 48322-3013
(248) 325-3087
(248) 325-0071

Map and Direction




Physician's Profile

Full NameDr Nicole A Kennedy
GenderFemale
SpecialitySurgery - Vascular Surgery
Location6777 W Maple Rd, West Bloomfield, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679782395
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 04/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7911151782
  • Enrollment ID: I20130201000124

Medical Identifiers

Medical identifiers for Dr Nicole A Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679782395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301081948 (Michigan)Secondary
2086S0129XSurgery - Vascular Surgery 4301081948 (Michigan)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 Nicole A Kennedy allows following entities to bill medicare on her behalf.
Entity NameAdvanced Vein Therapies Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205841640
PECOS PAC ID: 5496750523
Enrollment ID: O20060925000289

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 Nicole A 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 Nicole A Kennedy, MD
6777 W Maple Rd, Department Of Vascular Surgery,
West Bloomfield, MI 48322-3013

Ph: (248) 325-3087		Dr Nicole A Kennedy, MD
6777 W Maple Rd, Department Of Vascular Surgery,
West Bloomfield, MI 48322-3013

Ph: (248) 325-3087

Reviews and Comments


Surgery Doctors in West Bloomfield, MI

Dr. Michael W Gray, DO
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6635 Daly Rd, West Bloomfield, MI 48322
Phone: 248-538-3333    Fax: 248-538-3396
Puraj Pravinchandra Patel, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322
Phone: 248-661-7960    
Susan Seman, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6900 Orchard Lake Rd, Suite 315, West Bloomfield, MI 48322
Phone: 248-470-3916    
David Howard Rabens, D.O.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6678 Alderley Way, West Bloomfield, MI 48322
Phone: 248-855-1239    
Larry Shapiro, D.O.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6698 Torybrooke Cir, West Bloomfield, MI 48323
Phone: 248-683-9280    
Dr. Jeffrey Thomas Desano Ii, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5807 W Maple Rd Ste 177, West Bloomfield, MI 48322
Phone: 248-865-6400    Fax: 248-865-6404

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.