Katelyn Gerri Kennedy, DO - Medicare Family Practice in Wilmington, NC

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Katelyn Gerri Kennedy, DO is a medicare enrolled "Family Medicine" physician in Wilmington, North Carolina. She went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Black River Health Services Inc, Novant Health Medical Group Coastal Region Llc and her current practice location is 2523 Delaney Ave, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 763-5522.

Katelyn Gerri Kennedy is licensed to practice in North Carolina (license number 202501300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588304711.

Contact Information

Katelyn Gerri Kennedy, DO
2523 Delaney Ave,
Wilmington, NC 28403-6003
(910) 763-5522
Not Available

Map and Direction




Physician's Profile

Full NameKatelyn Gerri Kennedy
GenderFemale
SpecialityFamily Practice
Experience4 Years
Location2523 Delaney Ave, Wilmington, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katelyn Gerri Kennedy attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2022
  NPI Data:
  • NPI Number: 1588304711
  • Provider Enumeration Date: 03/29/2022
  • Last Update Date: 12/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284002486
  • Enrollment ID: I20250725003061

Medical Identifiers

Medical identifiers for Katelyn Gerri Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588304711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 202501300 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health New Hanover Regional Medical CenterWilmington, NCHospital
Pender Memorial HospitalBurgaw, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Black River Health Services Inc03451315798
Novant Health Medical Group Coastal Region Llc2860809936577

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. Katelyn Gerri Kennedy allows following entities to bill medicare on her behalf.
Entity NameBlack River Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174511976
PECOS PAC ID: 0345131579
Enrollment ID: O20040324001267
Entity NameNovant Health Medical Group Coastal Region LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649865791
PECOS PAC ID: 2860809936
Enrollment ID: O20210408000285

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. Katelyn Gerri 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
Katelyn Gerri Kennedy, DO
2523 Delaney Ave,
Wilmington, NC 28403-6003

Ph: (910) 763-5522		Katelyn Gerri Kennedy, DO
2523 Delaney Ave,
Wilmington, NC 28403-6003

Ph: (910) 763-5522

Reviews and Comments


Family Medicine Doctors in Wilmington, NC

Dr. Joiceann Compton Fuchs, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1705 Gardner Dr, Wilmington, NC 28405
Phone: 910-343-5300    
Katie O Gilbert, FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1911 S 17th St, Wilmington, NC 28401
Phone: 910-791-9625    Fax: 910-792-9799
Kimberly Renee Miller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7420 Market St, Wilmington, NC 28411
Phone: 910-662-6200    Fax: 910-550-3787
Patrice Dason Eglinton, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7420 Market St, Wilmington, NC 28411
Phone: 910-662-6200    Fax: 910-550-3787
Dr. Robert Nicholas Knear-bell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2523 Delaney Ave, Wilmington, NC 28403
Phone: 910-763-5522    Fax: 910-763-0413
Janice Fisher Dickerson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7420 Market St, Wilmington, NC 28411
Phone: 910-686-2525    Fax: 910-550-3787
Lauren Elizabeth Snyder, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2523 Delaney Ave, Wilmington, NC 28403
Phone: 910-763-5522    Fax: 910-763-0413

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.