Pablo Andres Kennedy, MD is a medicare enrolled "Hospitalist" physician in Junction City, Kansas. His current practice location is
1102 Saint Marys Rd, Junction City, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 238-0325.
Pablo Andres Kennedy is licensed to practice in Kansas (license number 04-50055) 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 1114508777.
Physician's Profile
| Full Name | Pablo Andres Kennedy |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 1102 Saint Marys Rd, Junction City, Kansas |
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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: 1114508777
- Provider Enumeration Date: 04/15/2021
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406257005
- Enrollment ID: I20240927001069
Medical Identifiers
Medical identifiers for Pablo Andres Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114508777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 04-50055 (Kansas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Pablo Andres Kennedy allows following entities to bill medicare on his behalf.
| Entity Name | Cotton O'neil Clinic Revocable Trust |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811944457
PECOS PAC ID: 5496659195
Enrollment ID: O20031124000674 |
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| Entity Name | Stormont Vail Health Flint Hills Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952018608
PECOS PAC ID: 9032587472
Enrollment ID: O20230429000051 |
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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. Pablo Andres 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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Pablo Andres Kennedy, MD
4717 Sw Wanamaker Rd,
Topeka, KS 66610-1333
Ph: (785) 438-9023 | Pablo Andres Kennedy, MD
1102 Saint Marys Rd,
Junction City, KS 66441-4139
Ph: (785) 238-0325 |
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