Dr Ronald Kennedy, MD - Medicare Thoracic Surgery in Jackson, MS

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Dr Ronald Kennedy, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1978 and has 48 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice St. Dominic Medical Associates Llc and his current practice location is 971 Lakeland Dr Ste 657, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-2780.

Dr Ronald Kennedy is licensed to practice in Mississippi (license number 08369) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689725202.

Contact Information

Dr Ronald Kennedy, MD
971 Lakeland Dr Ste 657,
Jackson, MS 39216-4608
(601) 200-2780
(601) 200-2788

Map and Direction




Physician's Profile

Full NameDr Ronald Kennedy
GenderMale
SpecialityThoracic Surgery
Experience48 Years
Location971 Lakeland Dr Ste 657, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ronald Kennedy attended and graduated from University Of Mississippi School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1689725202
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 05/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436210499
  • Enrollment ID: I20081209000448

Medical Identifiers

Medical identifiers for Dr Ronald Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689725202NPI-NPPES
0116208MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 326463 (Louisiana)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 08369 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmol Health I St DominicJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Medical Associates Llc0446303168130

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 Ronald Kennedy allows following entities to bill medicare on his behalf.
Entity NameVicksburg Healthcare LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629084058
PECOS PAC ID: 4688575129
Enrollment ID: O20040213000299
Entity NameSt. Dominic Medical Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821

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 Ronald 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 Ronald Kennedy, MD
Po Box 23666,
Jackson, MS 39225-3666

Ph: (601) 200-4749		Dr Ronald Kennedy, MD
971 Lakeland Dr Ste 657,
Jackson, MS 39216-4608

Ph: (601) 200-2780

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Jackson, MS

Dr. Richard P Cochran, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 406-640-4933    
Dr. Lawrence Lee Creswell, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5170    Fax: 601-984-5198
Dr. Craig Vorpe Adams, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 657, Jackson, MS 39216
Phone: 601-200-2780    
Dr. Ali Dodge-khatami, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Division Of Pediatric Cardiac Surgery, Jackson, MS 39216
Phone: 601-984-4693    
Dr. Charles S O'mara, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5105    Fax: 601-815-3322
Dr. Albert Michael Koury, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 501 Marshall St, Suite 100, Jackson, MS 39202
Phone: 601-969-7467    Fax: 601-948-1417
Dr. Gerhard H Mundinger, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 1860 Chadwick Dr, Suite 256, Jackson, MS 39204
Phone: 601-376-1934    Fax: 601-376-2005

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.