| Louis Kennedy, MD | |
|
785 18th St, Arcata, CA 95521 | |
| (707) 822-2481 | |
| (707) 822-3656 |
| Full Name | Louis Kennedy |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 12 Years |
| Location | 785 18th St, Arcata, California |
| 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 |
|---|---|---|---|
| 1689056954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A150399 (California) | Secondary |
| 207R00000X | Internal Medicine | A150399 (California) | Secondary |
| 208M00000X | Hospitalist | A150399 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Simi Valley | Simi valley, CA | Hospital |
| Adventist Health Bakersfield | Bakersfield, CA | Hospital |
| Emanate Health Inter-community Hospital | Covina, CA | Hospital |
| Adventist Health Tillamook | Tillamook, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 1017 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Entity Name | Vituity Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730666108 PECOS PAC ID: 2567714090 Enrollment ID: O20181011001813 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Kennedy, MD 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633 | Louis Kennedy, MD 785 18th St, Arcata, CA 95521 Ph: (707) 822-2481 |