| Dr Shannon Kennedy, MD | |
|
109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2135 | |
| (843) 737-5206 | |
| (843) 795-7171 |
| Full Name | Dr Shannon Kennedy |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 109 Wappoo Creek Dr, Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821022302 | NPI | - | NPPES |
| 249109 | Medicaid | SC | |
| GP4841 | Other | SC | MEDICAID GROUP # |
| P00700010 | Other | SC | RAILROAD MC ID-PRIOR 5/1/09 |
| 5551 | Other | SC | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 24910 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 249109 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Remedy Internal Medicine And Wellness Center P A | 1557523917 | 2 |
| Entity Name | Remedy Internal Medicine And Wellness Center P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316218670 PECOS PAC ID: 1557523917 Enrollment ID: O20120501000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Kennedy, MD 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2135 Ph: (843) 737-5206 | Dr Shannon Kennedy, MD 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2135 Ph: (843) 737-5206 |
Nikko Rowe Asuncion Tabliago, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 135 Rutledge Ave Rm 1209, Charleston, SC 29425 Phone: 843-792-4541 | |
Moses K Asempah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 717-491-3745 | |
Paige Nicole Laverick, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. James Howard Benson Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-4074 | |
Amit Agrawal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Yevgeniy Gelfand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0111 | |
Patrick A Flume, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |