Mrs Maryann Kenneson, MD in Orange Park, FL

Mrs Maryann Kenneson, MD is a medicare enrolled "Urology" physician in Orange Park, Florida. She went to University Of Kentucky College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Urology. She is a member of the group practice St Vincent's Ambulatory Care Inc and her current practice location is 1895 Kingsley Ave Ste 903, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 644-8353.

Mrs Maryann Kenneson is licensed to practice in Florida (license number ME92864) 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 1790011062.

Contact Information

	Mrs Maryann Kenneson, MD
	1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410
	(904) 644-8353
	(904) 644-8289

Map and Direction

Physician's Profile

Full Name	Mrs Maryann Kenneson
Gender	Female
Speciality	Urology
Experience	21 Years
Location	1895 Kingsley Ave Ste 903, Orange Park, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Maryann Kenneson attended and graduated from University Of Kentucky College Of Medicine in 2003

NPI Data:

NPI Number: 1790011062
Provider Enumeration Date: 10/21/2009
Last Update Date: 02/13/2018

Medicare PECOS Information:

PECOS PAC ID: 5092980615
Enrollment ID: I20121005000313

Medical Identifiers

Medical identifiers for Mrs Maryann Kenneson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790011062	NPI	-	NPPES
0056336	Medicaid	OH
14N6L	Other	FL	BCBS
006734700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	35098042 (Ohio)	Secondary
208800000X	Urology	ME92864 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent's Clay County	Middleburg, FL	Hospital
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital
Orange Park Medical Center	Orange park, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent's Ambulatory Care Inc	2860411188	278

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. Mrs Maryann Kenneson allows following entities to bill medicare on her behalf.

Entity Name	St Vincent's Ambulatory Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430

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. Mrs Maryann Kenneson 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
Mrs Maryann Kenneson, MD 10881 San Jose Blvd, Jacksonville, FL 32223-6612 Ph: (904) 260-3022	Mrs Maryann Kenneson, MD 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 Ph: (904) 644-8353

Reviews and Comments

Urology Doctors in Orange Park, FL

Robert A. Marino, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2045 Professional Center Dr, Orange Park, FL 32073 Phone: 904-276-1580 Fax: 904-276-9586
Dr. David Scott Bargnesi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1715 Village Way, Orange Park, FL 32073 Phone: 904-264-8418 Fax: 904-264-9692
Dr. Marc Hepner Blasser, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1715 Village Way, Orange Park, FL 32073 Phone: 904-264-8418 Fax: 904-264-9692
Christopher Moore, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1715 Village Way, Orange Park, FL 32073 Phone: 904-264-8418
Dr. James Emmett Kaelin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1715 Village Way, Orange Park, FL 32073 Phone: 904-264-8418

Mrs Maryann Kenneson, MD - Medicare Urology in Orange Park, FL