| Jay Kelly Kennard, MD | |
|
525 Airport Dr, Oneida, WI 54155-9035 | |
| (920) 869-2711 | |
| (920) 869-1077 |
| Full Name | Jay Kelly Kennard |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 525 Airport Dr, Oneida, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851398523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.073508 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 49185-020 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intercare Community Health Network | 9537061254 | 19 |
| Intercare Community Health Network | 9537061254 | 19 |
| Entity Name | Oneida Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740278308 PECOS PAC ID: 6800794074 Enrollment ID: O20031224000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Kelly Kennard, MD Po Box 365, Oneida, WI 54155-0365 Ph: (920) 869-2711 | Jay Kelly Kennard, MD 525 Airport Dr, Oneida, WI 54155-9035 Ph: (920) 869-2711 |
Dr. Gerald R Verstoppen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 | |
David M Danby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 Fax: 920-869-4979 | |
Peri Lynne Aldrich, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1077 Sunlite Dr, Oneida, WI 54155 Phone: 920-434-9012 Fax: 920-434-9015 |