| Richard Gordon Kennedy, MD | |
|
1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 | |
| (585) 758-0777 | |
| (585) 388-9079 |
| Full Name | Richard Gordon Kennedy |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1835 Fairport Nine Mile Point Rd, Penfield, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881659845 | NPI | - | NPPES |
| 01159993 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 167256 (New York) | Primary |
| Entity Name | Anthony L. Jordan Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649529678 PECOS PAC ID: 8729079785 Enrollment ID: O20040519001335 |
| Entity Name | University Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20130619000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Gordon Kennedy, MD 1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 Ph: (585) 758-0777 | Richard Gordon Kennedy, MD 1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 Ph: (585) 758-0777 |
Dr. David D Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2212 Penfield Rd, Suite 100, Penfield, NY 14526 Phone: 585-598-8505 Fax: 585-598-8122 | |
Nancy Yani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0060 | |
Sheryl Holley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0060 Fax: 585-385-0969 | |
Scott Mcintosh, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0460 | |
Laura E Gift, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1835 Nine Mile Point Rd, Suite 100, Penfield, NY 14526 Phone: 585-758-0777 Fax: 585-388-9079 | |
Dr. Pamela C Grover, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 421 Penbrooke Dr, Suite #6, Penfield, NY 14526 Phone: 585-623-4430 Fax: 585-623-4436 | |
Dr. Jeannine L. Dolan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Penfield Rd, Penfield, NY 14526 Phone: 585-922-0460 |