Michael Steven Kennelly, CRNP in Du Bois, PA

Michael Steven Kennelly, CRNP is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Du Bois, Pennsylvania. His current practice location is 145 Hospital Ave Ste 113, Du Bois, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 375-3015.

Michael Steven Kennelly is licensed to practice in Pennsylvania (license number SP026537) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508573353.

Contact Information

	Michael Steven Kennelly, CRNP
	145 Hospital Ave Ste 113, Du Bois, PA 15801-1463
	(814) 375-3015
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Steven Kennelly
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	145 Hospital Ave Ste 113, Du Bois, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508573353
Provider Enumeration Date: 11/01/2022
Last Update Date: 11/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2365812146
Enrollment ID: I20230112002101

Medical Identifiers

Medical identifiers for Michael Steven Kennelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508573353	NPI	-	NPPES
SP026537	Other	PA	PENNSYLVANIA STATE NURSE PRACTITIONER LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	SP026537 (Pennsylvania)	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. Michael Steven Kennelly allows following entities to bill medicare on his behalf.

Entity Name	Dubois Regional Cardiology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477594232 PECOS PAC ID: 6800875832 Enrollment ID: O20040714001185

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. Michael Steven Kennelly 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
Michael Steven Kennelly, CRNP 145 Hospital Ave Ste 113, Du Bois, PA 15801-1463 Ph: (814) 375-3015	Michael Steven Kennelly, CRNP 145 Hospital Ave Ste 113, Du Bois, PA 15801-1463 Ph: (814) 375-3015

Reviews and Comments

Internal Medicine Doctors in Du Bois, PA

Stephen M. Kruk, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave, Suite 215, Du Bois, PA 15801 Phone: 814-371-1717 Fax: 814-375-4422
Dr. Brent Aaron Barnes, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave, Suite 113, Du Bois, PA 15801 Phone: 814-375-3722 Fax: 814-375-3086
Dr. James Foster Beck, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-3800 Fax: 814-375-3886
Dr. Jawahar N Suvarnakar, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave, Suite 204, Du Bois, PA 15801 Phone: 814-371-7757 Fax: 814-375-0414
Dr. Riza Mina Jose, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-6440 Fax: 814-375-3081
Dr. Purvi Shah Parekh, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave, Suite 204, Du Bois, PA 15801 Phone: 814-371-7757 Fax: 814-375-0414
Dr. Sandeep Bansal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-3770 Fax: 814-375-3772

Michael Steven Kennelly, CRNP - Medicare Internal Medicine in Du Bois, PA