Kenisha Latoya Kennedy, is a medicare enrolled "Nurse Practitioner - Family" physician in White Plains, New York. Her current practice location is
295 Knollwood Rd, White Plains, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 989-7600.
Kenisha Latoya Kennedy is licensed to practice in New York (license number 351805) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841976248.
Physician's Profile
| Full Name | Kenisha Latoya Kennedy |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 295 Knollwood Rd, White Plains, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841976248
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608221478
- Enrollment ID: I20231013002257
Medical Identifiers
Medical identifiers for Kenisha Latoya Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841976248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2380467 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 351805 (New York) | 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. Kenisha Latoya Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Mount Vernon Neighborhood Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295912541
PECOS PAC ID: 0345139671
Enrollment ID: O20040313000345 |
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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. Kenisha Latoya 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 Address | Practice Location Address |
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Kenisha Latoya Kennedy,
16 River Rd,
Suffern, NY 10901-3735
Ph: (347) 744-0208 | Kenisha Latoya Kennedy,
295 Knollwood Rd,
White Plains, NY 10607-1822
Ph: (914) 989-7600 |
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