| Dr Ray C Kennedy, MD | |
|
727 Hospital Dr, Shelbyville, KY 40065-1660 | |
| (502) 647-4347 | |
| Not Available |
| Full Name | Dr Ray C Kennedy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 727 Hospital Dr, Shelbyville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164427357 | NPI | - | NPPES |
| 000000060164 | Other | KY | BCBS 12 DIGIT ID NUMBER |
| 1069939 | Other | KY | PASSPORT GROUP # 1172544 |
| 64281025 | Medicaid | KY | |
| 50000549 | Other | KY | PASSPORT GROUP # 50000548 |
| 000000275811 | Other | KY | BCBS 12 DIGIT ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 28102 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Hospital | Corydon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarksville Emergency Group Pc | 6507277423 | 132 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
| Entity Name | Indiana Emergency Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598068017 PECOS PAC ID: 2365622578 Enrollment ID: O20110204000668 |
| Entity Name | Clarksville Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ray C Kennedy, MD Po Box 8, Louisville, KY 40201-0008 Ph: (800) 476-8646 | Dr Ray C Kennedy, MD 727 Hospital Dr, Shelbyville, KY 40065-1660 Ph: (502) 647-4347 |
Dr. Yolanda Shields, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 | |
Dr. Maida E Colon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 | |
Justina Marie Ellis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Hospital Dr Ste 1, Shelbyville, KY 40065 Phone: 502-633-3525 | |
Frank J Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 800-476-8646 Fax: 919-382-3210 | |
Dr. Donald W Payne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 | |
Brenden M Wetherton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 |