Jack D Kennis, MD in Downey, CA - Medicare Emergency Medicine

Jack D Kennis, MD is a medicare enrolled "Emergency Medicine" physician in Downey, California. His current practice location is 11500 Brookshire Ave, Downey, California. You can reach out to his office (for appointments etc.) via phone at (562) 904-5000.

Jack D Kennis is licensed to practice in California (license number G46843) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477504249.

Contact Information

	Jack D Kennis, MD
	11500 Brookshire Ave, Downey, CA 90241
	(562) 904-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jack D Kennis
Gender	Male
Speciality	Emergency Medicine
Location	11500 Brookshire Ave, Downey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477504249
Provider Enumeration Date: 05/15/2006
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 7416083316
Enrollment ID: I20250310003345

Medical Identifiers

Medical identifiers for Jack D Kennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477504249	NPI	-	NPPES
00G468430	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G46843 (California)	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. Jack D Kennis allows following entities to bill medicare on his behalf.

Entity Name	Sarah Sandell Md Facp & Susan Sleep Md Amc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316241003 PECOS PAC ID: 9234470535 Enrollment ID: O20190415002658

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. Jack D Kennis 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 Address	Practice Location Address
Jack D Kennis, MD Po Box 39159, Downey, CA 90239 Ph: (562) 809-3576	Jack D Kennis, MD 11500 Brookshire Ave, Downey, CA 90241 Ph: (562) 904-5000

Reviews and Comments

Emergency Medicine Doctors in Downey, CA

Mandaar Gokhale, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11500 Brookshire Ave, Downey, CA 90241 Phone: 562-904-5000
Dr. Joseph Daniel Grubic, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 562-657-7130
Richard P Guess, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11500 Brookshire Avenue, Downey, CA 90241 Phone: 562-904-5000
Dr. Theodore Jeen Sung, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 800-823-4040
Matin Shah, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 562-657-7130
Dr. Bryce Ko, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11500 Brookshire Ave, Pih Health Downey - Department Of Emergency Medicine, Downey, CA 90241 Phone: 562-904-5000
Denise S Muschett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9449 Imperial Hwy, Emergency Department, Downey, CA 90242 Phone: 562-657-7000

Jack D Kennis, MD - Medicare Emergency Medicine in Downey, CA