| Janice Marie Kenneson, DO | |
|
21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | |
| (814) 226-6770 | |
| (814) 226-1015 |
| Full Name | Janice Marie Kenneson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 21159 Paint Blvd, Shippenville, Pennsylvania |
| 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 |
|---|---|---|---|
| 1518932334 | NPI | - | NPPES |
| 95223 | Other | PA | UNISON |
| P001040 | Other | PA | GATEWAY |
| 0015179590006 | Medicaid | PA | |
| 777963 | Other | PA | BLUE SHIELD |
| P00063069 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS008701L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clarion Forest Vna Inc | Clarion, PA | Home health agency |
| Clarion Forest Vna Hospice | Clarion, PA | Hospice |
| Clarion Hospital | Clarion, PA | Hospital |
| Upmc Northwest | Seneca, PA | Hospital |
| Butler Memorial Hospital | Butler, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Butler Medical Providers | 7416840160 | 314 |
| Entity Name | Butler Medical Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619493046 PECOS PAC ID: 7416840160 Enrollment ID: O20040205000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Marie Kenneson, DO 121 Doctors Ln, Clarion, PA 16214-8515 Ph: (814) 226-3470 | Janice Marie Kenneson, DO 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 Ph: (814) 226-6770 |
Nicole Carroll, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21159 Paint Blvd, Suite 2, Shippenville, PA 16254 Phone: 814-226-6770 | |
Ashley Nicole Kunselman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21159 Paint Blvd, Suite 2, Shippenville, PA 16254 Phone: 814-226-6770 Fax: 814-226-1015 |